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ORDER FORM Please print out this order form and complete. Completed order forms may then be faxed to 1(705)295-4035 or mailed to: Florabunda Seeds, Box 3, Indian River, ON Canada, K0L 2B0 Mail To: Address: Home Ph: Bus Ph: ITEM NUMBER ITEM NAME QUANTITY AMOUNT                                                                                                                                                 To arrange for a GIFT CERTIFICATE, fill out box below and enter the amount on this line.   POSTAGE & PACKAGING FOR SEEDS ONLY Canada $3.50 U.S.A. $4.00 No Shipping Charge on orders over $75.00 GST/PST (Cdn res only) Add 7% (15% in NFLD, NB, NS) SEND A GIFT CERTIFICATE along with a catalogue and a message to: RECIPIENT'S NAME: ______________________ RECIPIENT'S ADDRESS: ______________________ ______________________ ______________________ FOR THE AM'T OF: _________ GIFT MESSAGE: ________ ______________________ ______________________ ______________________ *Please include payment on order form TOTAL SEED ORDER   TOTAL ORDER NON-SEED ITEMS   POSTAGE & PACKAGING FOR SEED ITEMS   POSTAGE & PACKAGING FOR NON-SEED ITEMS   TOTAL   MINUS CREDIT NOTES   GST   ONT. RESIDENTS ADD 8% PST   TOTAL PAYMENT ENCLOSED   METHOD OF PAYMENT: (PLEASE CHECK) CHEQUE MONEY ORDER OR MASTERCARD / VISA Credit Card orders can be faxed to us at (705)295-4035 VISA or MASTERCARD Number: Expiry Date: Signature: ________________________________ IF AN ITEM IS OUT OF STOCK, I WOULD LIKE A: SUBSTITUTION CREDIT NOTE Substitution choice: _________________________________________________ Non-seed items will be back ordered.

© 1999-2001 Florabunda Seeds
Box 3, Indian River, ON Canada. K0L 2B0
(705) 295-6440 [TEL] - (705)295-4035 [FAX]
E-mail: contact@florabundaseeds.com
www.florabundaseeds.com