Rhododendron Seed Order Form

Seed Order Form for 2012
Until April 1, 2012 only ARS members can order seed.
Ordering Instructions

Fill in form and click the "Order Seed" button to place your seed order:
Name:		Contributor?
Street Address:		City:
State/Province:		Postal Code:
Country:		E-Mail Address:

First choice seed lot numbers: (Please list in numeric order.) To separate your choices hit the space bar three times

Second choice seed lots that will be used to fill your order if 1st choices are unavailable: (Please list in numeric order.) To separate your choices hit the space bar three times

Can we make additional substitutions to complete your order?

	Select one of the following payment choices:
	As an ARS member residing within the USA, I will pay by check in $US funds after receipt of seed.	[ 1 ]
	As an ARS member residing in the USA, I will pay by credit card via PayPal after shipment of seed order.	[ 2 ]
	Please bill Danish chapter.	[ 3 ]
	Please bill Swedish chapter.	[ 4 ]
	As a Danish or Swedish chapter member I will pay by credit card via PayPal.	[ 5 ]
	Scottish chapter members are requested to pay by credit card via PayPal.	[ 6 ]
	As a Canadian ARS members I will pay after receipt of seed either by postal money order in US funds or by PayPal.	[ 7 ]
	As a Non-Chapter ARS member residing outside the USA I will send payment upon receipt of seed.	[ 8 ]
	Non ARS member's, upon notification of the amount due, send the exchange payment in full. Your order will be dispatched when your payment is received.	[ 9 ]
	Select your payment choice:

Order Cost:

Enter total # of Nielsen China collection seed packets x $4 ea =

Postage and handling for China seed: Check one. USA International

China seed sub total

Enter total number of other seed packets x $3 ea =

Postage and handling for other seed: Check one. USA International

Other seed sub total

Grand total

Type the characters from the RED box.

To place your order click the "Order Seed" button.

If you have any questions e-mail to: arsseed@gmail.com