J. W. Jung Seed Co. 335 S. High St.


Randolph WI 53957-0001 2013 SUMMER-FALL ORDER FORM


IN A HURRY? Place your order via phone, fax or online using your credit card!


ORDER BY PHONE: 1-800-247-5864 Mon-Fri 8:00 am to 4:30 pm CST


ORDER BY FAX: 1-800-692-5864


ORDER ONLINE: www.jungseed.com Customer Service: 1-800-297-3123 E-Mail: info@jungseed.com


PAYMENT METHOD:


FOR OFFICE USE ONLY


Date..................Init........... CK..................................... CA..................................... CR..................................... G....................................... T........................................ CID.................................... O#.....................................


(PLEASE DO NOT SEND CASH)


❑ Check or money order ❑ Gift Certificate ❑ VISA


❑ DISCOVER ❑ MASTERCARD ❑ AMERICAN EXPRESS


Credit Card No. Signature of card holder


❑ MAILING LIST SERVICE We occasionally make our mailing list available to carefully screened companies. If you do not want your name included, please check the box.


Item No. & Size Code (if applicable) Quantity 08762A 1


IMPORTANT - VERIFY YOUR SHIPPING ADDRESS. Make any corrections to the pre-printed address above. If the address is not pre-printed, write in your complete address, including zip code. PLEASE NOTE: If you are paying by credit card, the above address MUST MATCH the address on your credit card statement.


❑ Check box if a gift order. Complete gift form on the back. Daytime Phone ( Evening Phone ( E-MAIL


) ) @ ❑ Check box if you would like to receive our email newsletters and special offers. Expiration Date


IMPORTANT: Buyer’s address MUST MATCH the address shown on your credit card statement. Credit cards will be charged when order is placed.


PLANTING INFORMATION WILL BE INCLUDED WITH EVERY ORDER.


Name of Item Wanted PowWow Wildberry Coneflower Seeds EXAMPLE ONLY


(Use only if different from address shown above) NAME


PHYSICAL ADDRESS Include street, road, fire no., etc. so our delivery carriers can locate you.


P.O. BOX (if applicable) CITY


Page No. 18 Price 3.45


STATE


ZIP


PLEASE NOTE: SPECIAL SHIP DATE REQUESTS REQUIRE AN EXTRA $15 HANDLING FEE. Special ship dates are accepted only for deliveries within our normal ship- ping season on in-stock items. Please add $15 to the last line of your order, along with your requested ship date.


SHIPPING INFORMATION Your order may be sent in more than one shipment. Seeds and garden sup- plies are usually sent soon after receipt of order. Bulbs and plants are shipped as close to proper planting time for your area as possible. See page 3 for approximate shipping date details.


SHIPMENT NOTIFICATION We will let you know when your order has shipped by E-mail if you provide a valid E-mail address in the space pro- vided above (under phone numbers).


SUBSTITUTION SERVICE If there is a crop failure or we run out of an item, we may substitute a similar variety of equal or greater value.


TOTAL OF ABOVE up to $35.00


$35.01 to $50.00 $50.01 to $75.00 $75.01 to $100.00 $100.01 to $200.00 Over $200.00


DELIVERY CHARGE CHART $5.95 $6.95 $8.95


$10.95 $12.95 $14.95


Allow 5 to 14 business days for transit time.


SHIPPING RESTRICTIONS: We do not ship out- side the continental U.S.


AK AND HI–Seeds only. No shipments of bulbs, nursery stock or supplies. AZ and CA–No shipments of nursery stock.


AMOUNT FROM OTHER SIDE MERCHANDISE TOTAL


Handling and Insured Delivery (see chart at left) (Order by Sept. 1, 2013 for FREE SHIPPING - details at right.)


Additional shipping addresses add $5.00 each


SUBTOTAL SALES TAX–Wisconsin orders add 5% sales tax plus applica- ble sales tax for your county. SC orders - Add 6% sales tax


Add Cat. # 54500 Gift Certificate Purchases Deduct Jung Credits (if any)


TOTAL


CHECK ACCEPTANCE POLICY If you pay by check and your check is returned to us, it will be re-presented electronically and your account will be debited for the amount of the check plus a fee of $35.


FREE SHIPPING OFFER


Valid on orders of $75 or more received by


September 1, 2013 (Excluding sales tax, delivery charges and other special fees. Entire order must be shipped to one address.)

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