Prairie Habitats Order Form

To place an order fill out this form on your computer screen, then PRINT OUT a copy and MAIL OR FAX it to Prairie Habitats Inc.

SEND TO:

Prairie Habitats Inc.
PO Box 10
Argyle, MB R0C0B0
Canada

CONTACT INFO:

Ph: (204) 467-9371
Fax: (204) 467-5004
Email: john01@xplornet.com
GST# 893487470RT

ORDERED BY:

Name:

Prov. / State:

Address:

Postal / Zip Code:

City:

Phone #:

Please note Prairie Habitats Inc. no longer produces live plants or garden seed paks, just bulk seed of some native prairie grasses.

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Name of Item
Price
Off. Use

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Subtotal 1:

Shipping (see below):

Subotal 2:

(Canadian residents only) Add 5% GST on Subtotal 2:

(Manitoba residents only) Add 7% PST on Subtotal 1:

Grand Total (Amount Enclosed)

Method of Payment

Cheque or Money Order

Shipping Costs

Visa Mastercard

Expiry Date:

Card #:

Bulk seed shipping costs depend upon weight, method of shipment (mail, bus, courier) and where they are being shipped to. Orders are shipped with prepayment only (VISA, MC, cheque, MO, bank wire) .

If you have questions on what the shipping costs will be, please contact us for a quote before ordering.

Growing instructions are included with each order

USA & International Orders shipped insured expeditied post or courier with prepayment only (VISA, MC, cheque, MO, bank wire) . An additional CA$25.00 phytosanitary certificate is required by USDA on large, bulk (one lb or more) seed shipments to the USA.

Signature: _______________________________
(on printed copy only)

 

Card Holder's Name (Please Print):

THANK-YOU FOR YOUR ORDER & HAPPY PLANTING!!

Prices are subject to change without notice

Print a second sheet if you need more space. Include price totals on one sheet only.

Be sure to review your printed order for accuracy and remember to include your payment information page with your order. Print a second copy of this order for your own records.