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
_____Allow substitutions or _____No substitutions
_____Check or _____Money Order Enclosed