Kitsap E-Z Earth Order Form

Order By: ___________________________________________
Phone: 360-337-3989 - Fax To: 360-415-0332
Mail To: Kitsap E-Z Earth, P.O. Box 5030, Bremerton, WA 98312

Name: _____________________________ ___________________________________________

Ship To Address: ______________________________________________________________________

City: _____________________________________________ State:_______ Zip: _________________

E-Mail:____________________________________________________ Phone:____________________

Product Description    Unit     Price Quantity Total
Kitsap E-Z Earth Organic Fertilizer
1.5 pound poly bag - sifted		 1.5 lbs. 4.95   $
Kitsap E-Z Earth Organic Fertilizer
10 pound poly bag - sifted		 10 lbs. 20.00   $
Kitsap E-Z Earth Organic Fertilizer
10 pound poly bag - unsifted		 10 lbs. 12.50   $
Worm Teabag (makes 5 gallons) 4.95   $
Red Worms (Eisenia fetida) - 1 lb. 22.50   $
Kitsap E-Z Earth Factory 1 bin 79.95   $

Shipping and Handling Fees:
  1 -  6 lbs.....$  6.50
 7 - 14 lbs.....$10.50
15 - 21 lbs.....$15.00
22 - 29 lbs.....$20.00
 *Please e-mail for larger packages

 Subtotal $
WA Residents
add 8.6% Sales Tax		 $
Shipping & Handling $
  Total  $___________

Payment Method: (Please Circle One):   Cash  |   Check   | Money Order  |   Visa   | Master Card

Credit Card #: _______________________________ Expiration Date: _____________________

Signature: __________________________________________________________________________

Sales of Kitsap E-Z Earth products provide employment opportunities
for people with special needs and reduces solid waste.