2010 Wild Simulated Ginseng
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CUSTOMER INFORMATION: Name __________________________________________________________________________ Street Address___________________________________________________________________ City ___________________________________________________________________________ State/Province _________________________________________ Postal/Zip Code____________ Country ________________________________________________________________________ Phone ________________________________________ Fax _____________________________ E-Mail _________________________________________________________________________ 2010 ORDERING INFORMATION:
BILLING INFORMATION: Payment Method: (Check one) Certified Cheque ______ Money Order ______ Print order form & mail with payment ORDERS WILL BE SHIPPED THE 2ND WEEK OF SEPTEMBER Payable to: S. Majury, 1929 County Road 30, Brighton, Ontario K0K 1H0 |
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For shipping charges please contact: BSMGinseng1@aol.com |
HOMEPAGE ABOUT US PHOTOS ORDER FORM
