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Mail Order Form

Friedlein Seed and Nursery      friedleinfamily@lycos.com

http://www.continue.to/friedleinproduce

Make sure you include your order form and Check/Money Order 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: $3.00

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

Note: All personal checks must clear bank before seeds are sent!

Thank you for your business!

Friedlein Seed & Nursery   31400 Lower Cedar Rd   Guttenberg, IA 52052   Phone 563-252-3076