| Order deadline: | Friday, April 2nd, 2010 |
| Delivery/Installation Date: | The week of April 12th, 2010 |
| Service Provider: | Matthew's Strawing Service |
| Straw cost: | $3.50 per bale delivered |
| Installation cost: | $1.00 per bale (optional) |
| Trench edge cost: | $0.50 per bale (optional with installation) |
| Handling Charge: | 3% + $0.30 |
| First Name | |
| Last Name | |
| Street Number | |
| Street Name | |
| Daytime Phone Number | -- |
| Email Address | |
| Number of bales | |
| Include installation | |
| Include trench edge | |
| Special Installation Instructions | |