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


Randolph WI 53957-0001 2014 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.


Line #


1 2 3 4 5 6 7 8 9


10 11 12 13 14 15


TOTAL OF ABOVE DELIVERY CHARGE CHART up to $35.00


$35.01 to $50.00 $50.01 to $75.00 $75.01 to $100.00 $100.01 to $150.00 $150.01 to $200.00 over $200.00


$5.95 $6.95 $8.95


$10.95 $12.95 $14.95 $16.95


*Allow 5 to 14 business days for transit time.


FREE SHIPPING on orders of $75 or more received by August 15, 2014


(Free Shipping is based on merchandise total and excludes


sales tax, delivery charges and other special fees. The entire order must be shipped to one address.)


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 Item No.


SIZE CODE OR PKG SIZE QUANTITY


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


(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. PRICE


STATE


ZIP


SHIPPING INFORMATION Your order may be sent in more than one shipment. Seeds and


garden supplies


are 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 more detailed information on shipping dates.


SHIPPING TO MORE THAN ONE ADDRESS: Add $5.00 for each additional shipping address.


SPECIAL SHIP DATE REQUESTS: If you wish to have a specific ship date, an ex- tra $15 handling fee is required. Special ship dates are accepted only for deliveries within our normal shipping season on in-stock items. Please add $15 to the last line of your order along with your requested ship date.


SHIPPING RESTRICTIONS:


AK AND HI–Seeds only. No shipments of bulbs, nursery stock or supplies. A $15.00 shipping surcharge applies.


AZ and CA–No shipments of nursery stock. ID–No bean seed, onions, garlic, shallots. WA–No onions, garlic or shallots.


PUERTO RICO and other countries outside the U.S.–No shipments of any kind.


Additional shipping restrictions may apply. Check with your local Cooperative Extension Office or Dept. of Agriculture for restrictions on specific plants in your area.


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


LEAVING ON A TRIP?


Please arrange for care of your package if it should arrive while you are gone. We cannot be responsible for orders not prop- erly cared for after delivery.


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.


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

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