Order Form
Name
  
Address
  
City
  
State
  
Zip
  
Phone
  
May substitute if sold out? Yes No
Don't forget to list some second choices on order form
Desired Shipping Date: _______________
AHS Member? Yes No
UPS Mailing Address (No P.O. Box)

Method Of Payment: Visa Master Card Check Enclosed

Card Number
___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
Expiration Date
month ___ ___ year ___ ___ signature __________________________
Qty
SF
DF
Daylily Name
Unit
Price
Ext.
Price
Qty
SF
DF
Daylily Name
Unit
Price
Ext.
Price
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
Sub Total
  
Shipping $12.00 + .50 per Plant
  
please list substitution and bonus plants on back of this form
TOTAL