Print this form and mail to:

Maine Seaweed Co.
P.O. Box 57 Steuben, Maine 04680
Telephone and Fax: (207) 546-2875

Sold To:				Ship to:
Name				Name
Address				Address
City				City
State/Zip				State/Zip

Variety		Quantity	Price/Unit	Total
Shipping and Handling				$10.00
TOTAL

Send check or money order for total amount.
Thanks for supporting our work! Larch Hanson and Crew
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