Packages order form to Tassot Apiaries, Inc.
54 rick road "Buzzing Acres Farm" Milford, NJ 08848
908-264-4504 contact@tassotapiaries.com
First name:
Last name:
Company name:
Address:
City:
State:
Zip code:
Phone (Day time):
Phone (Evening):
Email:
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Quantity |
Rate |
Amount |
Deposit
25% |
Balance
due |
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3# package Italian
honey bees |
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100.00 |
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with
2012 queen |
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25% deposit Paid by:
Check
#
Credit Card
Cash
Date received :
Balance paid by:
Check
#
Credit Card
Cash
Date received:
Package of bees
received in good condition date:
Signature:
Name: