Postal order

Send To Printer Virtual Seeds
92934 Coyote Dr.
Astoria, Oregon 97103
***********************
Sorry, no credit card orders accepted by postal mail
Acceptable forms of payment: Personal Check or Money Order
***********************
CUSTOMER INFORMATION:

NAME:___________________________________________________________

MAILING ADDRESS:________________________________________________

CITY:____________________________________STATE: ZIP:___________

PHONE NUMBER REQUIRED:_________________________________________

EMAIL ADDRESS PLEASE:___________________________________________

Seed Number Seed Name (description) Quanity Price Each
____________________________________________________________________

_____________________________________________________________________

SHIPPING (see note below): $_________

TOTAL:$ ____ ___

SHIPPING RATES: Varies according to items ordered. See web site "Shipping Rates" for details

***********************

PLEASE ADD ADDTIONAL ITEMS ON BACK OF FORM