Paul's Grains; chemical-free since 1964!
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Place an order online and receive a free Paul's Grains product sample of our choice! Be sure to check the box on the order form to indicate your interest.
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Email:
Get in touch:
       2475-B 340th St.
       Laurel, IA 50141
       (641) 476-3373
       pauls@paulsgrains.com

Paul's Grains rye field, July 2006

We hope you come back again!

Paul's Grains'
Online or Printable Order Form
Other ways to send your order:
Telephone: (641) 476-3373 • Fax: (641) 476-3300
Mail: 2475-B 340th St. • Laurel, IA 50141
Email: orders@paulsgrains.com


Billing Information
Please fill this section in completely & double-check your accuracy!
Items in red are required. (Privacy policy)


Name:
Address:
Address 2:
City:    State:
Zip Code:    Country:
E-mail:
Phone Number:

I wish to pay by Check or Money Order
Checks and money orders (made out to Paul's Grains) may be sent to our mailing address at the left of this page. Be sure to fill out this form, print it from your browser before clicking "Sumit Order", and then mail it with your payment after we confirm your total via email. If you are a first-time customer, orders may be held back until your check clears (not more than 7-10 days).
Solution Graphics
I wish to pay by Paypal, non-credit card
For fastest shipping (often within 24 hours), you may pay online through Paypal! Simply select this option, fill out and submit the order form, and then wait to send payment until we confirm your total via email.

I wish to pay by Paypal, using my credit card
If you want to use your credit card to pay through PayPal, we charge an additional 3% of your total bill--this allows us to keep our prices down for those who pay with other methods, while still offering the convenience of paying online. Please email us if you have questions.


Shipping Information
Please double-check your accuracy!

Ship order to my billing address (above)

Bill me (above) and ship order to this address:


Name:
Address:
Address 2:
City:    State:
Zip Code:    Country:



Items To Be Shipped
# of Pounds
 Item Description Price per Pound Total Price
Subtotal weight Subtotal price
 Add 2# for packaging materials
(add 1#, if above subtotal is 5# or less)
Choose shipping method:
USPS Priority Flat Rate USPS UPS
(Shipping rate help) 		Shipping Cost
If shipping USPS, add $1.50 for transportation;
If shipping UPS, add $2.50 for transportation. 		Trans. Cost
Grand total:




Yes, please send me a free Paul's Grains product sample!

Yes, I'd like to be added to Paul's Grains emailing list, to receive occasional emails of specials, new products, etc. (Privacy policy)




Important!
If you will be paying for your order by money order or check, please remember to print out this order form and send it with your payment. If you are paying through Paypal, you also may want to print this order form for your own records.

When you are done, please click the "Submit Order" button once, and we will e-mail you confirmation of the total price as soon as possible. Thank you!



Thanks to formnut.com for the form processing!



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