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Sorry no Peaches or Blueberries in 2012
Peach and Blueberry Form 2011
Please return this form along with your deposit to:
Govin’s Meats & Berries, N6134 670th St., Menomonie, WI 54751
Email jgovin@govinsmeatsandberries.com Phone: 715-231-2377
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Name: |
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Address: |
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City, State, Zip: |
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Phone #: |
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Cell Phone #: |
( )_______________________________________ |
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Email: |
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Special Instructions: |
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Quantity |
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Price* |
Total Cost |
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Peaches 1/2 bushel box
About 70 Peaches (24-25 lbs) |
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X |
$39.00 |
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Peaches 1 bushel box
About 140 Peaches (48-50 lbs) |
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X |
$65.00 |
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Blueberries -10 lb box |
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X |
$39.00 |
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Total Order Cost: |
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50% Deposit required on order: |
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Balance Due: |
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* Prices could change up to 10% increase due to transportation costs.
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Visa: _______ |
MasterCard: _______ |
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Credit Card Number: |
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Last Three Numbers on Back of Card: |
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Expiration Date: |
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Name on Credit Card: |
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