Premier Ginseng  and Herb Company
Mail Order Form

Print Out And Complete The Following Form
Mail To
Premier Ginseng and Herb Company
P.O. Box 395
Marathon, WI  54448

Order Infomation

Enter the quantity desired for each item listed below:
(Free Shipping On All Orders)
(See Shipping Dates for more information)


Product Description

Unit Price


8 Ounce Package of Stratified Ginseng Seed



1 Pound Package of Stratified Ginseng Seed




Stratified Ginseng Seed (Orders of 2 to 10 Pounds)




Stratified Ginseng Seed (Orders of 11 Pounds or More)



                                                                                                                                           Total Cost        

Requested Seed Shipping Date:________________________________________

City:__________________________ State:_______ Zip Code:_________________
Phone Number:______________________________ Email Address: _____________________________

Please check method for payment
__ Check or Money Order Enclosed (Make checks payable to Premier Ginseng and Herb Company)
__ Charge to my credit card account (MasterCard, Visa or Discover accepted)
Expiration Date__________________    CVV Code (3 Digit Code on Back of Card) ________
Name (as appears on credit card)_________________________
Account#___________________________________ Signature_________________________________________

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