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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Product ID |
Variety Name |
Quantity |
Unit Price |
Total |
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When do you want us to ship your order? | Order Sub-Total: |
$ | |
May we substitute if we are sold out? | Shipping Charges (see schedule) |
$ | |
Subtotal |
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Please list alternates on the back of this sheet. | Ohio Sales Tax: 7.25 % (Ohio residents only) |
$ | |
Make checks or money orders payable to Rose Fire, Ltd. | Total: |
$ | |
Name on Credit Card | |||
Credit Card Number | |||
Expiration Date | |||
Security Code (3 digit code on back of card) |