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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.