Ed Hume Seeds Order Form

Print out this form to order seeds or products from Ed Hume Seeds.

Ship to:

NAME __________________________________  PHONE_____________________

ADDRESS ___________________________________________________________

CITY _________________________________ STATE _______ ZIP _____________

Cat. #	Name of Item	Quantity	Price Each	Total
	SUBTOTAL ----------------------------	----------	---------->
	SHIPPING -----------------------------	----------	---------->	2.00
	TAX (WA State Residents 9.7%)-------	----------	---------->
	TOTAL ---------------------------------	----------	---------->

Payment Method  - Check__  - Money Order__  - Visa___  - Mastercard___

Credit card # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration _____/______

Signature___________________________ (Credit card minimum $15)

Send the completed form to:  Ed Hume Seeds,  PO Box 73160  Puyallup, WA 98373

Or FAX  to: (253)435-5144

________________________________________________________________

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