PLEASE DOUBLE CHECK THAT ALL OF YOUR INFORMATION IS CORRECT AND LEDGIBLE.  PLEASE PRINT.

SEND MAILER BOX TO:

NAME:  ________________________________________________________________

MAILING ADDRESS: _____________________________________________________________

CITY:  __________________________    STATE: ____________    ZIP:  ___________

ENCLOSURE CARD MESSAGE:

_______________________________________________________________________

DATE TO BE SHIPPED:  __________________________________________________

Total cost of Mailer Box including Shipping and Handling:   

•    $27.99 for each box shipping to addresses in WA & OR.
•    $34.99 for each box shipping to addresses in all other states- no Hawaii.

Payment:  Mail check or pay with VISA, Mastercard, or Discover:

Name on card: ________________________________        Security code #_______

Card #:  _________________________________________Exp. Date:  ____________

SENDERS INFORMATION:

YOUR NAME: ____________________________________________________________

YOUR PHONE: ___________________________________________________________

           EMAIL: ____________________________________________________________

Please send this completed form to us with full payment to :     Satsop Bulb Farm   930 Monte Elma Rd.  Elma, WA  98541  Or call in or fax your order to Phone:  360-482-5566

Note:  Satsop Bulb Farm cannot be held responsible for delivery delays due to wrong addresses, extreme weather conditions, government mandated agricultural inspections or recipients unavailable to receive deliveries.