Rhododendron Seed Order Form

Seed Order Form for Closeout Sale
Ordering Instructions

Fill in the form below and click the "Order Seed" button to place your seed order:
Name:		Contributor?
Address:		City:
State/Province:		Zip / Postal Code:
Country:
E-Mail Address:
	First choice seed lot numbers: (Please list in numeric order.) To separate your choices hit the space bar three times

	Second choice seed lots that will be used to fill your order if 1st choices are unavailable: (Please list in numeric order.) To separate your choices hit the space bar three times

Select one of the choices below:
Please bill Danish chapter.	[ 1 ]
Please bill Swedish chapter.	[ 2 ]
I have sent the Scottish chapter treasurer payment in full.	[ 3 ]
Non-chapter ARS member residing outside the USA will send payment upon receipt of seed. Add $2.00 for postal money order.	[ 4 ]
As an ARS member I will pay by credit card via the "fax method" ($10 handling fee automatically added).	[ 5 ]
As an ARS member residing within the USA I will pay by check in $US funds only after receipt of seed.	[ 6 ]
Non ARS member's, upon notification of the amount due, send the exchange payment in full. We will dispatch your order when your payment is received.	[ 7 ]
Bank wire (additional fee of $10.00)	[ 8 ]
Payment choice:
Order totals: Cost of seed (# of packets x $1.00) =
Postage and other expenses =	$4.00
Sub Total =
Credit card/"fax method" handling fee =	$10.00 (if applicable)
Postal money order fee =	$2.00 (if applicable)
Bank wire fee =	$10.00 (if applicable)
Grand Total =

Click the "Order Seed" button to place your order.

For payment methods [4], [6], and [7] mail payment to:

ARS Seed Exchange, PO Box 284, East Quogue, NY 11942 - 0284 USA

If you have any questions e-mail to: arsseed@aol.com