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Jan's Country
Garden
344 O’Brien Road
Port Angeles, WA 98362
Phone: (360) 452-8287
Fax: (360) 457-6847
Cellular: (360) 477-6180
Email: janzgarden@myway.com
ORDER DATE: ________________________
NAME:______________________________________________________________
ADDRESS:
__________________________________________________________
CITY:________________________STATE
___________ ZIP CODE: ____________
PHONE: ________________________
Email: ______________________________
REQUESTED SHIPPING DATE:
__________________________
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Shipping: 1-10 Tubers
$5.95
SUBTOTAL:_________._____
11-15 Tubers $6.95 16-20
Tubers $7.95
Over 20
tubers add $1.00 per every 5 additional
tubers SHIPPING: __________._____
Washington Residents Add 8.3% Sales tax SALES TAX:
_________._____
Mail order customers please remit by check or
money
order (U.S. Dollars) and mail to the above
address.
TOTAL: ____________.____
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