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: jpmorgan@mts.net GST# 893487470RT
ORDERED BY:
Name:
Prov. / State:
Address:
Postal / Zip Code:
City:
Phone #:
Live Plant Orders: Sorry, we no longer produce live plants, just seed.
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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 (Growing instructions included with each order):
Visa Mastercard Expiry Date:
Card #:
to $10.00 = $3.50 $10.01 to $25.00 = $6.00 $25.01 to $50.00 = $8.00 $50.01 to $75.00 = $12.00 $75.01 to $100.00 = $15.00 $100.01 + = 15% of Subtotal
USA & International Orders - shipped at cost via insured parcel post with VISA or MasterCard only. An additional CA$25.00 phytosanitary certificate 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.