Premier Ginseng  and Herb Company
Mail Order Form

Print Out And Complete The Following Form
Mail To
Premier Ginseng and Herb Company
P.O. Box 395
Marathon, WI  54448

Order Infomation

Enter the quantity desired for each item listed below:
(All Prices Include Shipping)
(See Shipping Dates for more information)

Quantity Ordered	Product Description	Unit Price	Cost
	8 oz Package of Stratified Ginseng Seed (Approximately 3200 Seeds)	$33.00	N/A
	1 lb Package of Stratified Ginseng Seed (Approximately 6500 Seeds)	$55.00	N/A
	Stratified Ginseng Seed (Orders of 2 to 4 Pounds)	$52.00/lb	N/A
	Stratified Ginseng Seed (Orders of 5 to 19 Pounds)	$49.00/lb	N/A
	Stratified Ginseng Seed (On orders of 20 Pounds or More)	$45.00/lb	N/A
	8 oz Package Medium Ginseng Rootlets (About 13-20 Roots)	$16.25	N/A
	1 lb Package Medium Ginseng Rootlets (About 25-40 Roots)	$25.50	N/A
	1 lb Increments Medium Ginseng Rootlets (On orders of 2 lbs or more)	$23.00/lb	N/A
	8 oz Package Large Ginseng Rootlets (About 8-13 Roots)	$17.25	N/A
	1 lb Package Large Ginseng Rootlets (About 15-25 Roots)	$27.50	N/A
	1 lb Increments Large Ginseng Rootlets (On orders of 2 lbs or more)	$25.00/lb	N/A
Total Cost

Please specify a shipping date for any seed ordered: __________________________

Name:____________________________________________
Address:__________________________________________
City:__________________________ State:_______ Zip Code:_________________
Phone Number:______________________________ Email Address: _____________________________

Please check method for payment
__ Check or Money Order Enclosed (Make checks payable to Premier Ginseng and Herb Company)
__ Charge to my credit card account (MasterCard or Visa accepted)
Expiration Date__________________  Name (as appears on credit card)___________________________________
Account#___________________________________ Signature_________________________________________

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