Rose Fire, Ltd.  
09394 State Route 34 Phone:  (419) 388-8511 (evenings)
Edon, Ohio  43518 e-mail:  cdalex@bright.net

Bill To:

Ship To (if different):
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e-mail:  
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Product ID

  

Variety Name

Quantity

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When do you want us to ship your order?  

Order Sub-Total:

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May we substitute if we are sold out?  

Shipping Charges (see schedule)

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Subtotal

  
Please list alternates on the back of this sheet.

Ohio Sales Tax:  7.25 % (Ohio residents only)

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Make checks or money orders payable to Rose Fire, Ltd.

Total:

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Security Code (3 digit code on back of card)