Stevens Farm

Flax Order Form

Print Out and complete the Order Form below

701-362-7361

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Stevens' Sales, LLC
2145 77th ST NW
Glenburn, North Dakota  58740-9706

yellow arrow smallblinking.gif (2032 bytes) Circle your preference.  Please mail this form with your personal Check or Money Order

checkmark.gif (688 bytes)Starter KIT Grinder, 12 lbs. of Flax Seed, Flax Book - $74.95 free shipping
checkmark.gif (688 bytes) 6 lbs. Golden Flaxseed includes shipping $30.95 - item 1006 (2-3 LB Bags)
checkmark.gif (688 bytes) 8.5 lbs. Golden Flaxseed includes shipping $39.95 - item 1008-5 (1 Jug + 2 bags)
checkmark.gif (688 bytes)12 lbs. Golden Flaxseed includes shipping $50.95 - item 10012 (4-3 LB Bags)
checkmark.gif (688 bytes)14.5 lbs. Golden Flaxseed includes shipping $61.95 - item 10014-5  (4-3 LB Bags 1- 1.5 lb Jug)
checkmark.gif (688 bytes)15 lbs. Golden Flaxseed includes shipping $60.00 - item 10015   (5 - 3 lb. Bags)
checkmark.gif (688 bytes)30 lbs. Nine Bags get one FREE with shipping $99.95 - item 10030 (10-3 LB Bags)
checkmark.gif (688 bytes)50 lbs. Golden Flax - includes shipping - Sale- $125.00 - item 10050 (1-50 LB Bag) BEST BUY
checkmark.gif (688 bytes) 60 lbs. Golden Flaxseed - includes shipping - $185.00 - 20 - 3lb. Bags
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
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

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