http://www.ecoseeeds.com/tobob.html - Tobacco Order blank
Print out this
form, fill out in pen & send with payment.
CANCER & HEALTH EFFECTS NOTICE
- By purchasing
any of these seeds,
the buyer knows that tobacco causes cancer and other health problems,
and that
the buyer will be entirely responsible when ingesting any of this
product, or
offering this product to others, and the seed seller will not
be liable for any cancer
or other health problems resulting from the use of this product.
Your seed order
constitutes that you have read this notice and understand that
you are responsible
for any cancer or other health problems resulting from the use
of this product.
Name:..................................................
Address:...............................................
Town, .......................................Phone (day)...........
state, zip
Special Tobacco Seed offer - one dollar for one packet,
check here___
The one dollar includes postage, please do not enclose a SASE
or extra stamps or money for postage.
_____________________________________________________________________________
Quantity |.....Name of Variety........................... |
Amount
_________|________________________________________________|________
...( ).....Tobacco alata, not for smoking - pkt(s)@$1
each|
_________|________________________________________________|________
...( ).....Tobacco common (tabacum) seed pkt(s) @$1.00
ea |
_________|________________________________________________|________
...( ).....Tobacco common (tabacum) ounce @ $100 each....
|
_________|________________________________________________|________
................................................SUBTOTAL $_________
.....................*CALIFORNIA CUSTOMERS ADD SALES TAX $_________
......Postage and packing for seed packets: $4 for first
$_________
.......10 cents for each additional for customers in USA
...................................TOTAL AMOUNT ENCLOSED $_________
Updated February 6, 2011