Note:Print out this form and fill out in
pen & send with payment.
customer, call or fax in your order thst is $25+ or more.
Phone (650) 325-7333, or FAX (650) 325-4056
Order
blank--All customers, except Californians.
Name:.....................................................
Address:..................................................
Town, ....................................Phone (day)...........
state, zip
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Quantity |.....Name of Variety.......................... | Amount
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................................................Subtotal $_________
.....................................Postage
and Packing $_________
...................................TOTAL AMOUNT ENCLOSED $_________
Credit card: Discover__, Mastercard__, VISA__ CVV Code
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