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Virtual Seeds
92934 Coyote Dr.
Astoria, Oregon 97103
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Sorry, credit card orders must go through the online shopping cart for security reasons.
We gladly accept Personal Check or Money Order by mail!

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CUSTOMER INFORMATION:

NAME:___________________________________________________________

MAILING ADDRESS:________________________________________________

CITY:____________________________________STATE:           ZIP:___________

PHONE NUMBER REQUIRED:_________________________________________

EMAIL ADDRESS PLEASE:___________________________________________

Seed Number     Seed Name (description)                         Quanity              Price Each
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                                                                       SHIPPING (see note below): $_________

                                                                                                       TOTAL:$ ____   ___

SHIPPING RATES: Varies according to items ordered. See web site "Shipping Rates" for details
www.virtualseeds.com/ordering.html

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                    PLEASE ADD ADDTIONAL ITEMS ON BACK OF FORM