CRAZY DAHLIA LADY
78 Ephrata Ave NW
Soap Lake
,  WA 98851

(
509) 246-1462
crazydahlialady@aol.com

 

DATE: ___________________

 

NAME: ____________________________________________________________________

 

ADDRESS: _________________________________________________________________

 

CITY:___________________________STATE _______________ ZIP CODE: ___________

 

PHONE: ___________________________  Email: _________________________________

 

SHIPPING DATE: __________________________

 

Quantity

Item No

Name Of Variety

Price

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipping charges:                                                            Sub Total:   $ __________.______

    1-10 tubers add $6.95

    11 or more add $9.80            Shipping & Handling: $ __________.______

Shipments before March 1st add  $2.00 packing charge


Make Checks Payable to:
Cheri Corriel                              Total:    $ ___________._____