PLEASE PRINT THIS ORDER FORM, COMPLETE, AND MAIL TO
412 East Market Street, Warrnsburg, MO 64093-1925
(660) 747-5900
Name
Address
City
State
Zip
Phone
Email
Shipping Date
Shipping: Priority Mail
May We Subsitute? Yes
No
click here for shipping charges
METHOD OF PAYMENT
Check Enclosed
Money Order Enclosed
Payment through PayPal
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1
.
.
.
.
12
.
.
.
.
2
.
.
.
.
13
.
.
.
.
3
.
.
.
.
14
.
.
.
.
4
.
.
.
.
15
.
.
.
.
5
.
.
.
.
16
.
.
.
.
6
.
.
.
.
17
.
.
.
.
7
.
.
.
.
18
.
.
.
.
8
.
.
.
.
19
.
.
.
.
9
.
.
.
.
20
.
.
.
.
10
.
.
.
.
21
.
.
.
.
11
.
.
.
..
.
.
.
.
22
.
.
.
.
.
.
.
.
Minimum order of $25 required (excluding shipping)
Gift Certificate Amount
.
Sub-Total
.
Postage
$5.00
7.660% sales tax for MO residents
.
TOTAL
.
