Order Form

Hilltop Gardens, Inc PO Box 1234 Cashiers, NC 28717

Phone: (828) 743-2951 E-mail: deanbke@aol.com

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

Requested Shipping Date: __________________________

                                               (Orders shipped prior to March 15th are at Buyer’s risk.)

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

Code

Dahlia Name

Plants QTY

Tubers QTY

Price

Total

Shipping Costs: 1-5 roots $9.00 6-10 roots $10.00 11-20 roots $11.00 21 or more  $12.00 Please pay by check or money order. No credit cards at this time.

Subtotal: ___________._____ 10% Discount (on orders of $125.00 or more): ___________._____ Net Order Total: ___________._____ NC Residents add 6.75% Sales Tax: ___________._____ Shipping & Handling: ___________._____ Total Amount Due: ___________._____       THANK YOU!