Special Pepper Collection Order blank
Note:Print out this form & fill out in pen & send with payment, or
CREDIT CARD ORDERS, call (650) 325-7333
or mail in, or FAX this form to 650-325-4056 -- Discover, MC, Visa
Exp Date __ __/ __ __Number __ __ __ __-__ __ __ __-__ __ __ __-__ __ __ __
CVV Code __ __ __

Name:____________________________________________

Address:________________________________________

Town,________________________________Phone (day)_______________
state, zip

Prices include postage to customers in the USA, Mexico and Canada.
Overseas customers please add 10% for airmail postage.
Pepper seeds are exempt from California sales tax.
CANNOT BE SENT to Australia, EU COUNTRIES, NZ or the UK.
___________________________________________________________________________
Quantity |.....Name of Collection....................... | Amount
_________|_______________________________________________|________0
..(__)...|.No. 1 - Top 7 Hottest...................$28.ea|$
_________|_______________________________________________|________
..(__)...|.No. 1-A - Top 10 Hottest................$38.ea|
_________|_______________________________________________|________
..(__)...|.No. 2 - Top 7 Customer's favorites......$30 ea|
_________|_______________________________________________|________
..(__)...|.No. 2-A Top 10 Customer's favorites.....$38 ea|
_________|_______________________________________________|________
..(__)...|.No. 3 - Top 7 Rarest Brazil and Mexico..$24 ea|
_________|_______________________________________________|________
..(__)...|.No. 4 - Fastest Maturing hot peppers... $28 ea|
_________|_______________________________________________|________
..(__)...|.No. 5 - "The Super 73"- All the Hots.. $250 ea|
_________|_______________________________________________|________
..(__)...|.No. 6 - Medium hots for Flavor..........$24 ea|
_________|_______________________________________________|________

.................Overseas customers* add 20% for airmail $
Overseas customers add $50 for phytosanitary certificate $
if needed.

................................TOTAL AMOUNT ENCLOSED $_________