Certified merchantFAX ORDER FORM: ANGELGROVE'S FAX: 709 596 2296
If purchasing a particular "Seed Collection" please indicate as much as you enter your selections & prices.

Name of Variety (Or Collection)                  / Package Size  / Number of Pkgs. / Price.
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                                                           ADD SHIPPING: $5.95 (Overseas buyers $8.95)
U.S. Customers: No Tax. - Cdns. please add GST/HST:
                                                                                  Total:________________________
* Please print extra pages where needed. (NB,NL,NS, = 13% HST. Rest of Canada = 5% GST.)
Shipping Information
  
Billing Information (for your credit card)
Name:   Name:

Address:

   Address:
City, State (or Prov.), Zip:(or postal code)
  

City, State (or Prov.), Zip: (or postal code)
    E-mail address
(required):
 Customer's Fax #:
   Phone:

Payment Method
           Card Name
                  CC#: INCLUDE 3 digit CVN # on back of card:          Exp. Date:



Signature(s) (required for Fax/credit card orders):
            > :                                                               :
& Yes, I >:                                                               :have read & agree to Angelgrove's shipping/seed sales terms.
Terms: http://www.AngelgroveSeeds.com/terms.html