Notgrass Company Order Form

Select Print from the File menu in your browser and print this page.
Mail it to the following address with your check or money order
made payable to The Notgrass Company,
or complete the credit card information below.

370 S. Lowe Ave., Ste. A
PMB 211
Cookeville, TN 38501

Name    ________________________________________________

Address ________________________________________________

City    ________________________________________________

State   _______________   Zip __________________________

Phone   ________________________________________________

E-mail  ________________________________________________

Would you like to receive The Notgrass Company
e-mail newsletter?  Yes ___  No ___


Credit Card Information

___ Discover® Network    ___ MasterCard®    ___ VISA®

Card Number     ________________________________________

Expiration Date _____ / _____

Name on Card    ________________________________________

Signature       ________________________________________
of Cardholder

Item	Unit Price	Quantity	Subtotal










U.S. Shipping Charge (Media Mail: $2.95 for total less than $40, $4.95 for $40 or more. Priority Mail: $4.95 for total less than $40, $9.95 for $40 or more.)
Subtotal
Sales Tax on Subtotal (IL - 6.25%, IN - 6%, MS - 7%, PA - 6%, TN - 9.75%, VA - 5%; KS, MO, NC, OH, and TX - local rate. Customers in other states are responsible for applicable use taxes.)
Total