Print Order Form
 Print this form, fill it and mail or fax it once completed.
Or use the secure online form.

129  Augur Hole Rd.    South Newfane,     VT   05351
Tel: (802) 348-6614 - Fax: (802) 348-9881 - info@daylilygarden.com

Customer Information
Customer's Name:
Street Address:
 
Town:
State:
Zip:
Tel:
Town:
Email:
Ship to Name: (if different)
Street Address:
 
Town:
State:
Zip:
Tel:
Email:

Quantity Item Name Size Price Each Item Total
Sub Total (minimum $30)
VT Shipping Address 6% Sales Tax
Shipping Fee (see below)
Total of Items 
Total Enclosed
Shipping Fees (within USA)
Purchase Amount Regular Ground 3 Day UPS 2nd Day Air
$30 - $100 $9.00 $21.00 $33.00
$101 - $100 $11.00 $23.00 $35.00
$201 and above $14.00 $26.00 $38.00
We recommend 3 Day to locations west of Rocky Mountains.
Ordering Information
Date Ordered:
Preferred Ship Date:
Preferred Ship Speed:
Regular Ground 3- DAY UPS 2nd DAY AIR
May We Substitute? yes           no
Only plants of equal or greater value will be substituted
Use the space below for your Substitution wish list

Is this a gift? yes        no
If yes, please fill out the gift section below:
Should we include a catalog? yes     no
Should we include a receipt? yes     no
Should we include a gift card? yes     no
We have beautiful cards from the Museum of Natural History with botanical illustrations. We will write your personal message inside. Cards are $2.50. Or you can include your own card in this order.
Please write your message here:
We have lovely gift certificates in any amount. If you would like us to send a gift certificate to someone, please write the name of the recepient below. Put gift certificate on one line of the order blank. There is no tax or shipping charges on a gift certificate. We will send a free catalog with the certificate if you wish:
Gift Certificate to:
Amount: $
Street Address:
Town:
State:
Zip:
Email:
Payment Information:
   Visa   Mastercard
Credit cards will be charged when order is received
Card number:     
Exp. date:
Name on card:
Free Catalog to a Friend:
Name:
Street Address:
Town:
State:
Zipcode: