Name____________________________________
Address__________________________________
City____________________________State____________Zip_________
Phone____________________________Email Address________________
Preferred Delivery Date__________________ (No later than May 10, 2008, please)
| -------Quantity------- | - - - -Name of Variety- - - - | --Price-- | --Total Price-- |
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(Confirmation Receipt will be provided with delivery date noted.)
1 to 10 tubers $6.00
Shipping: 11 to 25 tubers $10.00 Sub Total: $ __________.______
26 to 40 tubers $12.50
41 to 60 tubers $15.00 Shipping & Handling: $ __________.______
Over 60 tubers – Request Quote
Wash State Residents add 8.6% Sales Tax $__________.______
Total $__________.______
(Note: To print on a single page, use the 60% print option)