KLANN ORGAN SUPPLY
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NAME:
E-MAIL:
SHIPPING ADDRESS:
CITY: STATE/PROVINCE:
ZIP/POSTAL CODE:
COUNTRY:
TELEPHONE WHERE WE CAN REACH YOU:
PO NUMBER:
HOW SHOULD WE SHIP? REGULAR UPS UPS RED (OVERNIGHT) UPS BLUE (2 DAY)
UPS ORANGE (3 DAY) PRIORITY MAIL BEST WAY
HOW WILL YOU PAY? CREDIT CARD ON FILE
I WILL SEND CHECK
I WILL CALL WITH CREDIT CARD INFO
BILL ME (CURRENT OPEN ACCOUNTS ONLY)
COMMENTS OR SPECIAL INSTRUCTIONS: