Alternative Order Form

Alternative Order Form

(For those who desire to pay Offline via a Money Order or Cashiers Check)

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Name: _________________________________________________________________________________

Address: ________________________________________________________________________________

City: _____________________________________________________ State: _____ ZIP: ________________

email: ____________________________________________________ Phone: _______________________

Money Order or Cashiers Check No.: ____________________________________________________________

__ 1 cs. Verdegrass - 36 - 2 fl. oz. (60mL) Daily Servings (Cost from Pricing Menu) $__________________.______

__ 3 cs. Verdegrass - 108 - 2 fl. oz. (60mL) Daily Servings (Cost from Pricing Menu) $_________________.______

Please Print, include Money Order or Cashiers Check and Mail to:

Attn: Order Dept.

Hawkhaven Greenhouse Int'l. - LLC

W9554 Blackhawk Ct.

Wautoma, WI USA 54982-7158

920.540.3536

We will call and/or email you when your order is ready for shipping, provide you with a tracking number, other information, etc.

- Good Health To You -

Captain Tim Paegelow

Hawkhaven Music