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International Order Form

Company Name
Phone*
Attention*
Email*
Select Your Product To See Pricing and Quantities
- CYG Germination Pouch
- High-Contrast Blue Blotter Germination Pouch
- Additional Polypap Stands
- Large Seed Pouches
Number of Cases
Price: $450.00 Quantity:
1000 pouches per case and two polypap stands
Number of Additional Stands
Price: $4.00 Quantity:
*When ordered separately, a minimum of 5 stands is required.
Number of Cases
Price: $389.00 Quantity:
500 pouches per case and two polypap stands
Number of Cases
Price: $422.00 Quantity:
Case of 500 Large Seed Pouches
Total
$0.00
Purchase Order Number
if necessary
Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Shipping*
- Ship to Billing Address
- Enter Separate Shipping Address
Special Delivery Instructions
Customs or Forwarding Agent Information
VAT
Foreign orders may be subject to import duty. Customer will be responsible for such charges.
- Yes, I would like to pay by credit card
Orders of $200 or less need to be paid by credit card.
Card Type*
*
Card Number
*
Cardholder Name
*
*
*
CCV
Credit Card Billing Address*
- Same as Billing Address
- Same as Shipping Address
- Other (enter new address)
Credit Card Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
This field is for validation purposes and should be left unchanged.