Mail completed form along with Check or Money Order to:
 
          Gardnerville Farms
          PO Box 342
          Altamont, NY 12009-0342
 
  Lbs  Type of Organic Garlic
  German White
  Elephant
  TOTAL
 
TOTAL
Lbs		Total Cost with S & H
1  20.00
2  30.00
3  40.00
4  50.00
5  60.00
6  80.00
7  90.00
8100.00
9110.00
10120.00
 
PLEASE CIRCLE PRICE ABOVE 		     
Ship to:
 
Name: 
 
Address 1: 
 
Address 2: 
 
City, State: 
 
Zip: 
 
Phone: 
 
Email: 
 
 
 
 
 
Billing Information:     ( if different )
 
Name: 
 
Address 1: 
 
Address 2: 
 
City, State: 
 
Zip: 
 
Phone: 
 
Email: 
 
 
 
2008·08·28