Mail Order Form
Friedlein Seed and Greenhouse friedleinfamily@lycos.com http://www.continue.to/friedleinproduce			Make sure you include your order form and check with this order!
Mail to: Brandon Friedlein 31400 Lower Cedar Rd. Guttenberg, IA 52052	Customer Information	Name:_______________________________________________________________________ Street Address:_______________________________________________________________ City_________________________________ State:_________ Zip Code ________________ Phone Number (REQUIRED) (__________)_________________-_____________________ (optional) E-Mail Address: ____________________________________________________

Shipping Charges:
1-10 packets: $4.00	10-20 packets: $5.00	20+ packets: $7.00	Note: Guttenberg, IA residents DO NOT need to add shipping!

Qty	Item #	Description	Unit Price	TOTAL
Subtotal
Iowa residents add 7% Sales Tax
(If applicable) Shipping Charges
Grand Total

Make all checks payable to Brandon Friedlein

Thank you for your business!

Make sure you included your phone number! We cannot process your order without it.