Roguelands Seeds - U.S. Mail Order Form

Please make your personal check or money orders payable to:
Carol Spurling

Send your orders to:
1475 SunGlo Drive, Grants Pass, Oregon 97527

Variety: (ie. Tomato - Rostova) Item Code: (ie. TM-007) Quantity: Price:
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                           Subtotal :
                           Postage : $1.50
      Grand Total Enclosed:


Shipping Information

Name: Street Address:
City: State/Province:
Post Code: Country:
Phone #: E-mail Address:

FOR OFFICE USE ONLY

ORDER #: CUSTOMER #:
RECEIVED #:  SHIPPED #:
Notes: