ORDER FORM (For orders by mail)
richfarmgarden
985 W. State Rd. 32
Winchester, IN  47394

Date:
Purchased by Name:

Address:	Ship to:
address:	(if different):

Phone:
email:
Other instructions:
 

Product Description	Quantity	Catalog number	Unit Price	Line Total
Total from attached sheet (if more)	---	--------	---------
SHIPPING & HANDLING	---	--------	---------
	---	--------	---------
Indiana residents add sales tax	---	--------	---------
TOTAL	---	--------	---------

Check current product info, pricing, and terms of sale posted on richfarmgarden.com before ordering.
For instructions to use this Order Form go to http://www.richfarmgarden.com/setupgrape.html

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_____Check or _____Money Order Enclosed