DAHLIA DANDIES

1717  SOUTH  WOODLAND  DRIVE

KALISPELL,  MT  59901

dahliadandies@yahoo.com

(406) 755-2735

DATE: __________________

NAME: ______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY:____________________________STATE ______________ ZIP CODE: ____________

PHONE: _____________________________  Email: _________________________________

REQUESTED SHIPPING DATE: __________________________(Only if before April 1st)

IF OUT OF STOCK : Refund?  _______ Or Substitute? ________

QUANTITY

CATALOG#

VARIETY NAME

$ EACH

TOTAL

    Postage & Handling                 1 to 5 tubers $6.00                            Sub Total: $ ________.______

 to USA addresses:                6 to 10 tubers $7.00    
                                                   11 to 20 tubers $9.00 Postage & Handling: $ ________.______

Over 20 tubers $12.00

For Foreign Orders: Foreign Inspection: $ ________.______

Enter $10.00 in Postage and Handling
   and $23.00 in Foreign Inspection                                                  Total: $ ________.______