Planters Seed and Spice Company

Order form: This is a printable form, when you have completed this form click on the print button on the top tool bar

Please provide the following contact information:

Name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

Home Phone

E-mail

Please provide the following ordering information:

QTY DESCRIPTION Price Total

Shipping and handling

Total

Shipping & Handling Charges for regular UPS or FedEx ground service:

                           PER GIFT AMOUNT           ADD
                          Up to $19.99                         $7.95 (each gift)
                          $20.00 - $39.99                    $8.95 (each gift)
                          Over $40.00                          $9.95 (each gift)

BILLING

Credit card

Cardholder name

Card number

Expiration date

SHIPPING Delivery

Street address Promptly

Address (cont.) Thanksgiving

City Christmas

State/Province Chanukah

Zip/Postal code Week of

Country

Mail: 513 Walnut Street	Local Order Number	816-842-3651
Kansas City . MO 64106	Toll Free Order Number	1-877-397-0566
	Fax Order Number	1-816-842-1422

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
E-mail

QTY	DESCRIPTION	Price	Total





Shipping and handling
		Total

	BILLING
Credit card
Cardholder name
Card number
Expiration date

	SHIPPING	Delivery
Street address		Promptly
Address (cont.)		Thanksgiving
City		Christmas
State/Province		Chanukah
Zip/Postal code		Week of
Country

Planters Seed and Spice Company

Order form: This is a printable form, when you have completed this form click on the print button on the top tool bar

Last revised: December 05, 2007