Mail Order Form

Print out this form or use a plain sheet of paper to give us the following information

Please print clearly.

Name:_____________________________

Address:___________________________

___________________________

Zip code/Postal code:_________ Country:________

How To Make Tobacco ($9.95) Qty. ____ $_________

Burley Tobacco Plant Seeds ($7.85) Qty. ____ $_________

Virginia Tobacco Plant Seeds (6.85) Qty. ____ $_________

Cuban Tobacco Plant Seeds ($6.75) Qty. ____ $_________

Nicotiana Rustica Seeds ($6.75) Qty. ____ $_________

How To Grow Tobacco Plants ($9.85) Qty. ____ $_________

E Liquid ($36.95) Qty. ____ $_________

High Vapor E Cigarette Kit ($48.90) Qty. ____ $_________

30 Atomizers ($38.40) Qty. ____ $_________

Nicotiana Rustica Seeds ($6.75) Qty. ____ $_________

Shipping $ ___________

TOTAL $ ___________

Shipping Charges: As shown on the item description pages

Order Filling: Within two working days

Note: Seeds cannot be sent to Australia, New Zealand, the Arab Emirate or Switzerland. You must be at least 18 years old to order any e cigarette item. E liquids and e cigarettes cannot be shipped to Brazil, Lebanon, Malaysia, Mexico, Panama, Singapore, Hong Kong, Egypt, Dubai or the Arab Emirates. Sorry!

Your e-mail:_________@___________

(optional, if you wish to receive a confirmation by e mail)

We accept Money orders, bank drafts and personal checks. No waiting for the bank to clear your check if the order is below $20.00.

US Customers: If you would like to pay by Money Order, then please provide an International Money Order. Domestic Money Orders cannot be cashed in Canada. Thank you

Mail to:
Seedgnome.com
Box 341
Rochester, Alberta
T0G 1Z0 Canada