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Text Box: MISTY GROWER ORDER FORM
               Free Shipping on Every Order
MISTY MILLS     P.O. BOX 424    24 Misty Mills Road    Lavonia, GA 30553
   PHONE: 1-800-200-0140    FAX : 706-356-5199


Name ____________________________   Credit Card (Mark):   Visa     MasterCard    Amex    Discover

Address __________________________   CC Number__________________________ ExpDate__________

City, State, Zip _____________________   Comment_____________________________ RefNo.___________

Phone ______________   Please Ship __________ Every_______ Weeks. I will notify you for change.

Size	Description	Containers	Analysis	East of Miss.	Central	11 W. States	ORDER
5 lb.	Organic Fertilizer	cs. / 4 pails	4 –2 –2	$ 30.00	$ 35.00	$ 37.00	____=_____
20 lb.	Organic Crumble	Plastic pail	4 –2 –2	$ 23.00	$ 28.00	$ 30.00	____=_____
30 lb.	Organic Crumble	Plastic pail	4 –2 –2	$ 28.00	$ 31.00	$ 36.00	____=_____
50 lb.	Organic Crumble	Plastic pail	4 –2 –2	$ 35.00	$ 40.00	$ 42.00	____=_____
50 lb.	Organic Crumble	cs. / 1 bag	4 –2 –2	$ 28.00	$ 30.00	$ 34.00	____=_____

FREE SHIPPING ON EVERY ORDER Use Auto Ship-And Never Call Us AGAIN! Total Enclosed:________