PLEASE PRINT THIS ORDER FORM, COMPLETE, AND MAIL OR FAX
Pete Harry Daylilies, 2450 Woodlea Rd., Tavares, FL 32778
orders: (954) 325-1334
Name
Address
City
State
Zip
Phone
Shipping Date
May We Subsitute? Yes
No
METHOD OF PAYMENT
Check Enclosed
Charge My Credit Card
Visa
Mastercard -- Exp.
Card Number:
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Signature: ___________________________________________
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1
.
.
.
.
12
.
.
.
.
2
.
.
.
.
13
.
.
.
.
3
.
.
.
.
14
.
.
.
.
4
.
.
.
.
15
.
.
.
.
5
.
.
.
.
16
.
.
.
.
6
.
.
.
.
17
.
.
.
.
7
.
.
.
.
18
.
.
.
.
8
.
.
.
.
19
.
.
.
.
9
.
.
.
.
20
.
.
.
.
10
.
.
.
.
21
.
.
.
.
11
.
.
.
..
.
.
.
.
22
.
.
.
.
.
.
.
.
Gift Certificate Amount
.
Sub-Total
.
click here for shipping charges
Postage
6.5% sales tax for FL residents
.
TOTAL
.
