Order Form

Order Form

Uncle Luke's Feed Store
6691 Livernois
Troy, Michigan 48098

Voice: (248)879-9147
Fax   : (248)879-4527
Email: uncle6691@aol.com
Flushing Lawn and Garden Center
114 Terrace Street
Flushing, Michigan 48433

Voice: (810)659-6241
Fax   : (810)659-4095
Email: uncle6691@aol.com
Item Num. Size/Weight Quantity Description Price Each TOTAL PRICE
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Comments/Instructions: Sub Total $
. MI Sales Tax $
. Misc. $
. TOTAL $

Name:______________________________________________________________ Address:___________________________________________________________ City:______________________________________________ State:_________ Zip:_________________ Phone:_____________________ Thank You for Your Order