| Great Plains Flax Seeds 8150 West Fairview Avenue Littleton, CO 80128 |
Please make your checks out to: Great Plains Flax Seeds |
If you prefer to send in your order via
traditional mail, please print off this form, fill it out completely, include
a check for the appropriate amount and mail it to:
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| Name: | __________________________ | ||
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| E-mail: | __________________________ | ||
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| Phone: | __________________________ | ||
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| Mailing Address: | __________________________ | ||
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| __________________________ | |||
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| City: | __________________________ | ||
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| State: | __________________________ | ||
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| Zip: | __________________________ | ||
| 7 lbs of Whole Golden Flax Seeds | ||
| No. of 7 lb containers: _____ at $31.95 per container = $________ | ||
| Shipping & Handling: FREE | ||
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| 14 lbs of Whole Golden Flax Seeds | ||
| No. of 14 lb containers: _____ at $53.95 per container = $________ | ||
| Shipping & Handling: FREE | ||
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| Total: $________ | ||