| UPS Ground Please indicate
if the shipping address is Residential or Business. <Circle
one |
| Important: You must
include a STREET ADDRESS for shipping. UPS will not ship to a BOX NUMBER. |
| Please send me ____lbs. item #
_______ of Omega Golden Flaxseed (natural-non organic) |
| Name : _________________________________Please Print |
| Shipping Address : _________________________Please Print
(physical Address) |
| ________________________________________ |
| City : ___________________________________Please Print |
| State : __________ Zip Code : ______________Please Print |
| Phone : ________________________________Please Print |
| Email : ________________________________ Please Print |
| Thank you for your order, |
| March Stevens (owner) www.stevensfarm.com |
www.stevensfarm.com/flax.htm
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