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NAME: |
DATE: |
| STREET ADDRESS: |
| CITY: |
| STATE: |
| ZIP CODE: |
E-MAIL:(to let you know pmt. arrived) |
(Please make checks payable to Karen Manasco) |
Check card type: VISA______MC______ AMEX______ DISCOVER______ |
Credit Card number ____________________________ |
Expiration date _______________________________ |
Card Verification Number________________________ |
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QUANTITY |
ITEM TITLE or DESCRIPTION |
Each |
Total |
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Please select alternates just in case |
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Add'l alternate: |
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Shipping - Plants - $13.00 FLAT RATE |
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Shipping - Standard Seed orders - $3.00 |
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3.00 |
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Total with shipping |
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