ORDER FORM - SOLANA SEEDS
Name: ________________________________________
Address: ______________________________________
______________________________________________
______________________________________________
Optional: telephone nb:___________________________
Optional: email: _________________________________
Please contact us by email (solana@aei.ca) before sending order.
nb pkt
name of item
total ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________ ________ ____________________________________________ ________
............................................................. sub-total ________
S/H: Canada: 3$ / International.:6,00$ ________
....................................................................Total ________ Send to : SOLANA SEEDS
17, rue Leger
Repentigny, Quebec
Canada
J6A 5N7Print extra forms for orders over 15 items.