| 
 | Mail Order Form | ||
| Friedlein Seed and
  Nursery      friedleinfamily@lycos.com | Make sure you include your order form and Check/Money Order with this order! | ||
| Mail to: Brandon Friedlein | Customer Information | Name:_______________________________________________________________________ Street Address:_______________________________________________________________ City_________________________________ State:_________ Zip Code ________________ Phone Number (REQUIRED) (__________)_________________-_____________________ (optional) E-Mail Address: ____________________________________________________ | |
| Shipping Charges: | 
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| 1-10 packets: $3.00 | 10-20 packets: $5.00 | 20+ packets: $7.00 | Note:  | 
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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