BSM Ginseng Printable Mail-in Order Form

 Wild Simulated Ginseng 

    CUSTOMER INFORMATION: 

Name __________________________________________________________________________

Street Address___________________________________________________________________

City ___________________________________________________________________________

State/Province _________________________________________   Postal/Zip Code____________

Country ________________________________________________________________________

Phone  ________________________________________  Fax _____________________________

E-Mail _________________________________________________________________________

    ORDERING INFORMATION:    Please  place your order for 2008 season ASAP  

 SEEDS  (Worldwide) 
     Qty.

________     Green  Seed $60.00/lb.             ________          TOTAL   ________

________     Stratified Seed $90.00/lb.      ________          TOTAL   ________

 

 TRANSPLANTS  (Canada only)  

     Qty.

________     1 yr. @ .60 ea.                      ________

________     2 yr. @ .85 ea.                      ________

________     3 yr. @ $1.10 ea.                  ________

________     4 yr. @ $1.35 ea.                  ________          TOTAL   ________

 MATURE ROOTS  (Canada only) 
     Qty.
________     5 yr. @ $350/lb.                    ________

________     6 yr. @ $600/lb.                    ________          TOTAL  ________

      100 SEEDS FREE            SUB-TOTAL                     ________

             Cdn. orders send $2.00 plus                 SHIPPING                         ________

        (Stamped self-addressed envelope)               GRAND TOTAL             ________

  US orders send $3.00 (We pay the postage)          

   BILLING INFORMATION: 

Payment Method: (Check one)     Certified Cheque ______   Money Order ______

Please print order form and mail with cheque or money order payable to:

  S. Majury, RR#7, Brighton, Ontario Canada K0K 1H0    

(Receipt will be issued when order is shipped)

For shipping charges  please contact: BSMGinseng1@aol.com

 HOMEPAGE           ABOUT US            PHOTOS           ORDER FORM 

 
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