Order Form

Hilltop Gardens, Inc PO Box 1234 Cashiers, NC 28717

Phone: (828) 421-9458 E-mail: deanbke@aol.com

Name:     ___________________________________________________
Address: ___________________________________________________
City: _________________ State: ___________  Zip Code: ___________
Phone: ____________________ E-mail: __________________________

Requested Shipping Date: __________________________

(No plants shipped Prior to 3/15/11. Tuber orders shipped prior to 3/15/11 are at Buyer’s risk.)

Orders processed in order received – Stock limited on some varieties.

Dahlia Name

Plants QTY

Tubers QTY

Price

Total

Shipping/Handling 1-5 roots/plants $9.00 6-10 roots/plants $10.00 11-20 roots/plants $12.00 21 or more.  $15.00 Please pay by check or money order payable to: Valley Dahlia Farm & Landscape Service No credit cards at this time.

Subtotal: ___________._____ 10% Discount (on orders of $125.00 or more): ___________._____ Net Order Total: ___________._____ NC Residents add 7.75% Sales Tax: ___________._____ Shipping & Handling: ___________._____ Total Amount Due: ___________._____ THANK YOU!