ARHS
2004 SEED EXCHANGE |
(THIS FORM MUST BE
USED) |
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Name ________________________________________________________ |
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Address
________________________________________________________ |
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________________________________________________________ |
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Phone _________________ E-mail:
________________________________ |
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_______
Packets @ $2.50 = $___________ |
Postage
& Envelope = $2.00 |
_______
Packets @ $2.00 = $___________ |
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_______
Packets @ $1.50 = $___________ |
TOTAL
AMOUNT ENCLOSED $____________ |
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# |
QTY. |
# |
QTY. |
# |
QTY. |
# |
QTY. |
# |
QTY. |
# |
QTY. |
# |
QTY. |
001 |
|
022 |
|
043 |
|
064 |
|
085 |
|
106 |
|
127 |
|
002 |
|
023 |
|
044 |
|
065 |
|
086 |
free |
107 |
|
128 |
|
003 |
|
024 |
|
045 |
|
066 |
|
087 |
|
108 |
|
129 |
|
004 |
|
025 |
|
046 |
|
067 |
|
088 |
|
109 |
|
130 |
|
005 |
|
026 |
|
047 |
|
068 |
|
089 |
|
110 |
|
131 |
|
006 |
|
027 |
|
048 |
|
069 |
|
090 |
|
111 |
|
132 |
|
007 |
|
028 |
|
049 |
|
070 |
|
091 |
|
112 |
|
133 |
|
008 |
|
029 |
|
050 |
|
071 |
|
092 |
|
113 |
|
134 |
|
009 |
|
030 |
|
051 |
|
072 |
|
093 |
|
114 |
|
135 |
|
010 |
|
031 |
|
052 |
|
073 |
|
094 |
|
115 |
|
136 |
|
011 |
|
032 |
free |
053 |
|
074 |
|
095 |
|
116 |
|
137 |
|
012 |
|
033 |
|
054 |
|
075 |
|
096 |
|
117 |
|
138 |
|
013 |
|
034 |
|
055 |
|
076 |
|
097 |
|
118 |
|
139 |
|
014 |
|
035 |
|
056 |
|
077 |
|
098 |
|
119 |
|
140 |
|
015 |
|
036 |
|
057 |
|
078 |
|
099 |
|
120 |
|
141 |
|
016 |
|
037 |
|
058 |
|
079 |
|
100 |
|
121 |
|
142 |
|
017 |
|
038 |
|
059 |
|
080 |
|
101 |
free |
122 |
|
143 |
|
018 |
|
039 |
|
060 |
|
081 |
|
102 |
|
123 |
|
144 |
|
019 |
|
040 |
|
061 |
|
082 |
|
103 |
|
124 |
|
145 |
|
020 |
|
041 |
|
062 |
|
083 |
|
104 |
|
125 |
|
146 |
|
021 |
|
042 |
|
063 |
|
084 |
|
105 |
|
126 |
|
147 |
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|
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|
|
148
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|
149
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|
150
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|
151
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|
152
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|
153
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|
154
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|
155 |
|
156 |
|
157 |
|
158 |
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List acceptable
substitutes in the chart below in the order of
preference. |
> |
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Return form with payment
as per instructions to: |
Sharon Bryson
#407 Old Maryvale Rd. RR#3 Antigonish, Nova Scotia B2G
2L1 CANADA |