Waltz's Ark Seed Order Form

Postal Mail                                    
Waltz's Ark                                         
P.O. Box 368                                          
Delta, CO 81416                                          

Please print this page, complete the form, and then mail to the above address.

Name________________________________________________________
Address______________________________________________________
City_____________________State_____Zip________Country__________
Phone(_____)___________________ Email_________________________

Item#                             Description                                     Quantity    Price
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        Colorado Residents Only please add 7.25%             Sales Tax_________
                                                                         S/H Fee_________
                                                                              Total_________

Shipping & Handling Rates
$   0.01 - $ 10.00   =  $ 4.50
$ 10.01 - $ 20.00   =  $ 5.50
$ 20.01 - $ 40.00   =  $ 6.50

Please allow 1-4 weeks for delivery.

Payment Method (Check One)

__Personal Check  __Money Order


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