www.MountainMeadowSeeds.com Please Print Out This Form Before Using

We accept: Money Orders, Cashier's Checks and Personal Checks. Most orders ship out immediately.
However, if you pay by personal check, please allow 7-10 business days for your check to clear our bank.

Date: ________________

BILL TO: SHIP TO:
Name: Name:
Address: Address:
City/State/Zip: City/State/Zip:
Phone #: Phone #:
Email:  

Type of Seed

Description

Qty

Price ea.

Total
         
         
         
         
         
       

 
         
         
         
         
         

Sub-Total: ____________

Sales Tax (WV residents add 6%): ____________

Shipping:        $1.75      

Grand Total: ____________

Please Make Payable To: