Order Form

Please provide the following contact information:

First name
Last name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Daytime Phone
Evening Phone
FAX
E-mail

           Please tell us what you would like to order.

QTY	ORDER#	DESCRIPTION	PRICE	TOTAL
		MA RESIDENTS - ADD 5% SALES TAX
		SHIPPING CHARGE ($2.50 for all domestic and Canadian seed orders or $3.50 for other international seed orders)
		TOTAL ORDER

	BILLING
Credit card	VISA MasterCard American Express
Cardholder name
Card number
Expiration date
	CHECK ENCLOSED:

	SHIPPING (do not complete if this is the same as contact info)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country