Print Order Form
|
print button ↑ Olallie Daylily Gardens129 Augur Hole Rd. South Newfane, VT 05351
|
| Customer Information | |
| Customer’s Name: | |
| Street Address: | |
| Town: | |
| State: | |
| Zip: | |
| Tel: | |
| Ship to Name: (if different) | |
| Street Address: | |
| Town: | |
| State: | |
| Zip: | |
| Tel: | |
| Email: | |
| Quantity | Item Name | Size | Price Each | Item Total |
| Sub Total (.) | ||
| VT Shipping Address 6% Sales Tax | ||
| Shipping Fee (see below) | ||
| Total of Items | ||
| Total Enclosed | ||
| Ordering Information | |||||||
| Date Ordered: | |||||||
| Preferred Ship Date: | |||||||
| Preferred Ship Speed: |
|
||||||
| 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 will write your personal message inside. Cards are $3.25. 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: | |
|
|
|
