Date ___________________________________

Name_________________________________________________________________________

Address ________________________________City________________State__________Zip _______

Phone: _______________________________E-mail:__________________________________

Date wanted: _________________ Normal shipping begins April 1st. If wanted earlier (weather conditions permitting), add $2.00 insulation charge.

Quantity	Variety	Price	Total






















If you run out of room, use back of form – total from back side
Subtotal
Add shipping – 1-3 tubers $5.00, 4-7 $7.00, 8-12 $9.00, 13-20 $10, 20 & over $14 (Sorry for the price increases, but postal increases go into effect 1-4-10). No charge if picking up.
Washington residents add sales tax for your area.
Total enclosed with order

SUBSTITUTION: May we substitute an equal or better variety if sold out? Yes____No___

List choices for substitutions on back.

If you wish to pay by credit card or Paypal, please call me.