Pure Land Ethnobotanicals Order Form

Quantity (weight in gram/milligram liquid volume, or # of seeds) Item Description
(Botanical Name of Specimen Material, Seeds, or Full Name of Research Material )
Total Cost
of this quantity of this item

SUBTOTAL:

LESS ANY CREDIT:

5% SALES TAX (ONLY Wisconsin Residents need to pay this):

SHIPPING ($4.95 for Priority Mail, or $20.00 for Express):

TOTAL(make payment out to 'Pure Land'):

IMPORTANT: If item(s) temporarily unavailable, do you prefer (check one box):

1. Substitution (list choices on back of this order form)

2. Back Order (up to 6 weeks maximum, after that point we would issue refund)

3. Refund if not in stock or due to arrive soon (company check made out to the customer's name) 4. Credit to be subtracted from your next order (we will send a credit note).

_{POSTAGE & PACKING COSTS:
Priority/First Class Mail - Up to 900 grams (2 pounds): $4.95 ; Up to
1350 grams: $7.00 ; Up to 1800 grams: $8.00 ; Up to 2250 grams: $9.00 ;
Up to 2700 grams: $11.00 ; Up to 3150 grams: $12.00 ; Add $1.00 MORE for each additional pound (450 grams) above 3150 grams. SHIPPING INFO for all U.S. clients:} _{We
ship by Priority Mail with the U.S. Postal Service. All orders are
packed in Priority Mail boxes and the shipper's name in the return
address will be 'PLE'. The USPS generally takes 2-4 working days to
deliver Priority Mail. Express Mail service is available (overnight to
most locations once your order is shipped) for an additional $15.00.
Please indicate this preference above on the Shipping line.}

_{Payment is accepted in three convenient ways:}

₍₁₎_{Order
using Visa, Mastercard, Discover, or American Express credit or debit
cards ( debit cards must have the Mastercard or Visa logo). Remember we
need to ship to the SAME address as is on card.}

₍₂₎_{Mail us your payment in the form of a Money Order, Personal or Business Check or Cashier's Check (make out to "Pure Land"). Personal/business checks are accepted however
we must wait for them to clear before we can ship your order, until you
become an established customer. Money orders are therefore preferred
for faster service.}