73 Heaths Rd. Hoppers Crossing, Vic 3029, Phone: 03 9005 7569, Mobile: 0412 134 047

Order Form 2009-2010

 

Customer name ------------------------------------------------------------------------------------------------------------

Street Address-------------------------------------------------------------------------------------------------------------

City-----------------------------------------------------------State-------------------Post Code--------------------------

Country (if other than Australia)-----------------------------------------------------------------------------------------

E-mail address-------------------------------------------------------------------------------------------------------------

(If you can be contacted by email, please provide the address, it makes it so much easier to keep you informed on the status of your order.)

Seed No.                     Name of Species                                  Quantity             Price             Substitutes

 This order

 Your credit

Total

   Orders over $25 and paid with Postal money order, will have the fee of $4.50 refunded with extra seeds of your choice.

 

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Contact Information: Email vlado.viglasky<AT>gmail.com
or phone numbers: Landline (03) 97346333 or Skype 03 9005 7569 and mobile 0412 134 047

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