Forget-Me-Not Seed Packet Order Form

Please fill out the following information. Note: Entries marked with an * are required.
Step 1: Enter Your Contact Information
*Name:
 (first and last)
*Company Name:
Title:
*Address:
*City:
*State:
*Zip Code:
 
*E-mail:
*Phone:
Step 2: *Enter the Quantity you would like to order:
Total quantity of Seed Packets:
Quantity
Price per packet
50-100
$0.60
125-200
$0.56
225-500
$0.52
525-1000
$0.48
1025-2000
$0.44
2025-3000
$0.40
(Available in increments of 25 only)
   
Step 3: *Enter Your Payment Information
My payment information is on file
Charge a new credit card number. Download a credit card authorization form
Coupon Code (if applicable):
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Clicking the "Place Order" button authorizes your order
For pricing inquiries please call our toll free line at 1-800-433-3755