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MushroomScienceTM Order Form
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Toll Free: 1-888-283-6583 · Phone: 1-541-344-8753 · Fax: 541-344-3107
P.O. Box 23936, Eugene, OR, 97402, USA
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Name:_________________________________________________________
Daytime Phone Number _____________________
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Shipping Address - Street Address Only:
Street:______________________________________City:_______________
State/Province:_________________________________________________
Country:____________________ Zip/Postal Code_________________
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Visa___ Mastercard____ Discover____ Check____ Money Order____
Card Holders Signature:_______________________________________
Credit Card Number___________________________________________
Exp. Date__________ Security Code________ First Order? ___Y___N
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International customers must leave a return fax number or email address
to confirm shipping costs.
FAX # ______________
E-Mail Address_________________
Shipping__________________ Total Price________________
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Shipping Information:
Shipping in USA
| | UPS Ground | 7.50 |
| | UPS 3 day | 10.00 |
| | UPS 2 day | 16.00 |
| | UPS 1 day | 32.00 |
Due to problems beyond our control, we are currently unable to accept international orders. We expect to resume shipping international orders on June 1, 2008.
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