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<br />II <br />I <br />1110 <br />II <br />II <br />III <br />III <br />II <br />LI <br />, <br />r- <br />, <br />, <br />I <br />I <br />I <br />I <br />1.- <br />I <br /> <br /> <br /> <br />I <::n'~ f7nn'ON TC,nT <::~.<:: <br /> <br />lJI.nCF \.1St O:\L Y <br /> <br />PRAIRIE f\JllKS"RY <br />r.o, Box 306 <br />W..W.ld, WI S)9114 <br /> <br />ORDER FORM <br /> <br />ORDt;R' <br /> <br />0010 R.'('d <br />Ship n,t, <br /> <br />'U' 608-296-3679 <br />FAX 608-296-2741 <br /> <br />SCH. SIIIP DATI! <br /> <br />~lLOTO: <br />NAMF. <br />AI111I(~ <br />(I'IY <br />~(lI;Nl"I' <br /> <br />SHIJ' 10, <br />NAM~ <br />AnoRESS _ <br />Cll"I'_ <br />I'HONE' <br /> <br />_Sf <br /> <br />~r <br /> <br />_SI'_ <br /> <br />III' <br /> <br />I\YI~t~OftIyI <br /> <br />l'tlONE' <br /> <br />MPIHOLlor rAYMtNI <br />!'I1:HF.CI</MoNtY OROI'R <br />!'l VISA , MASrtKCARO <br />I:ARD ellS IO:-U:R'S !;ICNATl.IRE <br /> <br />PI F.A!\E indica.. )'ollr prcr.rrcd d,U"..,. elate: <br /> <br />o PUKI:HASC ORnER <br />n Oll'oC"OVER . <br /> <br />I'UR<:HA~ ORnER NUMBFIl <br /> <br />EXI'.OATE _ <br /> <br /> . SEEDS PLANTS <br />ITI'M . ITl1M (I'f.\~ lis. .~siltk. ~U"""lil"li,'ns) I QUANTITY Unit Price I "rice Unil Price !'rIa <br /> . I <br /> , -I- <br /> , <br /> : I - <br /> ! . <br /> '- - <br /> , <br /> I <br /> - <br /> i <br />- I - -. - - <br /> , <br /> 1 -. <br />- ; - - <br /> - I - <br /> I <br /> - i - <br /> , <br /> ! <br /> ! - - <br /> . <br /> , <br /> , <br /> i - <br /> , <br /> T ol.1 <;iJ,. I ~ttDS "'ANTS <br />SHII'J'ING C. IIANDLlNC - f- - <br /> T wi Sid. 2 S~EI)S ",ANTS <br />11""15 S2O.oo ~o;oooo IS'\ T,1(al oi 5iJ,.. I &r 2 ~UDS "'ANTS <br /> ~;oIOO-S),OOO.oo 111'1'. - <br /> ~).OUU.OO . S1: Shil>pinK ond H.,,1dli"ll SeEOS PLANTS <br /> IOTALS.INITH SHU''ING S~EDS PI.ANTS <br />0;.,.,), ~20.00-~;oo,OO I~ ~ <br /> S;CII.1lI1 SI)l1l1.00 S'II> $I'~()S PI.U!'; PI.AN'rs <br /> - <br /> SI,ooo.OO . 3' HOOKS (p".tpaicll <br />CM.I<l. (~"bOnlyl SUDTuTAI. 01' ALL ITEMS <br /> _. ._- _. <br /> 520.1lIl-~"1O.00 IS' ;;'( Wi..."n.in Sak.. Tu (WI r""id,'ftl< (It,lyl <br /> $501.00-51.000.00 1011. . <br /> 51.001.00 . 5"' 1/2" m,.;"nsin Cnunty Ta. (if applic.\blel <br /> lOTAl .\MOUNI' <br /> <br />MINIMUM ORDER $20.00 <br />ExcU'T FOR BooKS <br /> <br />Jdl-l <br /> <br />CQ~7_n77_Tnc :'~I <br /> <br />I"'I!-''""'Cl <br />