Billing Information As It Appears On Your Credit Card Bill 

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Credit Card Number:                                                                                                Exp. Date:                              3 or 4 Digit CVV2 Code:

Shipping Information If Different From Billing Information

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Item 1)  Brief Description Of Product:
             Quantity:
 
Item 2)  Brief Description Of Product:
             Quantity:
 
Item 3)  Brief Description Of Product:
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Item 4)  Brief Description Of Product:
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Main Street Seed and Supply, Co.
401 E. Main St.
Bay City, MI 48706
Fax:  1-989-893-2297  Phone:  1-866-229-3276