ARHS
2005 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:
________________________________ |
|
_______
Packets @ $2.50 = $___________ |
Postage
& Envelope = $2.00 |
_______
Packets @ $2.00 = $___________ |
|
_______
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 |
|
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 |
|
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 |
|
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 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
148
|
|
169
|
|
190
|
|
210
|
|
231
|
|
|
|
|
|
149
|
|
170
|
|
191
|
|
211
|
|
232
|
|
|
|
|
|
150
|
|
171
|
|
192
|
|
212
|
|
233
|
|
|
|
|
|
151
|
|
172
|
|
193
|
|
213
|
|
234
|
|
|
|
|
|
152
|
|
173
|
|
194
|
|
214
|
|
235
|
|
|
|
|
|
153
|
|
174
|
|
195
|
|
215
|
|
236
|
|
|
|
|
|
154
|
|
175
|
|
196
|
|
216
|
|
|
|
|
|
|
|
155
|
|
176
|
|
197
|
|
217
|
|
|
|
|
|
|
|
156
|
|
177
|
|
198
|
|
218
|
|
|
|
|
|
|
|
157
|
|
178
|
|
199
|
|
219
|
|
|
|
|
|
|
|
158
|
|
179
|
|
200
|
|
220
|
|
|
|
|
|
|
|
159
|
|
180
|
|
201
|
|
221
|
|
|
|
|
|
|
|
160
|
|
181
|
|
202
|
|
222
|
|
|
|
|
|
|
|
161
|
|
182
|
|
203
|
|
223
|
|
|
|
|
|
|
|
162
|
|
183
|
|
204
|
|
224
|
|
|
|
|
|
|
|
163
|
|
184
|
|
205
|
|
225
|
|
|
|
|
|
|
|
164
|
|
185
|
|
206
|
|
226
|
|
|
|
|
|
|
|
165
|
|
186
|
|
207
|
|
227
|
|
|
|
|
|
|
|
166
|
|
187
|
|
208
|
|
228
|
|
|
|
|
|
|
|
167
|
|
188
|
|
209
|
|
229
|
|
|
|
|
|
|
|
168
|
|
189
|
|
210
|
|
230
|
|
|
|
|
|
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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 |