mail-order-form

Payment Method

Check or money order

Number

Visa             MasterCard

    Discover             American
                            Express
Credit Card Number

Expires Last Day of

            Month                       Year

Please print your name below as it appears
on your card

First Name                                               Last Name

Billing Address

Town                                                                  State                 Zip

Shipping Address if different:

Town                                                                  State                 Zip

Email

Daytime Phone (in case we need to call you regarding your order)

How many	Item description	Price of each item	Total for all items
2	Arugula EXAMPLE ONLY	$2.39	$ 4.39
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$

Please see the
seed and price list
on page 2

Figure the shipping and
handling cost based on the
total amount of your
purchase.

AMOUNT                 Cost
0 to 5.99                  $3.19
6.00 to 14.99           $4.06
15.00 to 34.99         $4.95
35.00 to 49.99         $5.95
50.00 to 74.99         $6.95
75.00 to 99.99         $7.95
100.00 to 124.99     $8.95
125.00 up                $9.95

Total from this side

Total from page 2

Shipping/Handling
(see chart to left)

Subtotal

Tax if applicable
(see below)

GRAND TOTAL

$

$

$


$

$

$

For Washington State residents
please add 8.3% to your order by
multiplying the sub-total by 1.083.

We do not sell or share our
customer’s contact information.

To print this two-page form click
the printer icon in your web
browser tool bar or to use your
key board press the CONTROL
and P keys. After printing,

Seeds can be
ordered either
on-line or via mail.
This is the mail order
form.


Call with comments
(360) 426-3799


Web shopping
maxseedcompany.com


Mail order
Max Seed Company
141 W. Stardust Lane
Shelton, WA 98584


Shipping & Handling
Orders are shipped
within 2-3 business
days of receipt via
United States Postal
Service.


Thank you!
Your purchase is
helping to support
sustainable agriculture
& pet populations.

page 1

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How Many	Item description	Price of each item	Total for all items
2	Arugula *EXAMPLE ONLY*	$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$

Subtotal $

Arugula “Rocket” $2.79	Bean ‘Palermo’ $2.59	Cabbage ‘Shelton’ F1 $3.09
Calendula ‘Flashback Mix’ $2.39	Calendula ‘Zeolights’ $2.39	Carrot ‘Scarlet Nantes’ $2.29
Catnip Non-Organic $2.19	Celery ‘Giant Red Reselection’ $2.29	Chard ‘Bulls Blood Beet Leaf’ $2.59
Chard ‘MacGregor’s Favorite Beet Leaf’ $2.89 (SOLD OUT)	Corn, True Gold Sweet $2.49	Cosmos ‘Picotee’ $2.39
Cucumber, Sweet Marketmore $2.39	Fennel ‘Perfection’ $2.39	Green Bean ‘Provider’ $2.79
Kale ‘ Lacinato’ $2.29	Kale ‘Red Ursa’ $2.29	Leek ‘Prizetaker’ $2.39
Lettuce ‘Carmona’ $2.29	Lettuce ‘Dark Green Romaine’ $2.29	Lettuce ‘Merlot’ $2.29
Mustard ‘Pink Petiole Mix’ $2.29	Mustard ‘Wild Garden Pungent Mix’ $2.29	Onion ‘New York Early’ $2.29
Pumpkin ‘Young’s Beauty’ $3.19	Radish ‘Cherry Belle’ $2.39	Spinach ‘Bloomsdale’ $2.39
Squash ‘Delicata Zeppelin’ $3.19	Squash ‘Zucchini Cocozelle $3.19	Tomato ‘Gold Nugget Golden Cherry’ $2.39
Tomato ‘Nepal’ $3.09	Wild Garden Insect Mix $2.99	Zinnia ‘Pastel Dreams’ $2.49

Click here to continue shopping

page 2