Magicland Farms
4380 S. Gordon
Fremont, MI 49412

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PHONE# (       ) ___________________________ DATE  _______________
NAME _________________________________________________________
MAIL ADDRESS _______________________________________________
CITY _____________________________STATE _________ZIP__________
SHIPPING ADDRESS ___________________________________________
CITY _____________________________STATE _________ZIP __________
email address: ______________________
  

Packets of 5	DESCRIPTION	PRICE per pkt	TOTAL	For our use
Subtotal
shipping			FREE
Packing and handling			FREE
Total Enclosed (check or money order)

 Send Order to:  Magicland Farms
                                4380 S. Gordon
                                Fremont, MI 49412