ORDER SHEET
Ayers Rainbow of Dahlias
336 Bremner Lane
Winston, OR 97496
(541)
580-8352 or (541) 580-5236
Email: hlmayers@charter.net
ORDER DATE: _____________________
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NAME:______________________________________________________________
ADDRESS: __________________________________________________________
CITY:_______________________STATE ___________ ZIP CODE: ____________
PHONE: __________________________ Email: ______________________________
SHIPPING DATE: __________________________
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Shipping: 1-5 tubers $6.00 SUBTOTAL: __________._____ 6-10 tubers $7.00 11 + tubers $8.00 SHIPPING: ___________._____
Check or money order must accompany your order. Credit/Debit cards not accepted. TOTAL: ____________.____ |
Thank You