RED HAWK DAHLIAS

P. O. Box 127

Carnation, WA 98014

(425) 788-3053

DATE: __________________

NAME: ______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY:____________________________STATE ______________ ZIP CODE: ______________

PHONE: _____________________________      Email: ________________________________

REQUESTED SHIPPING DATE: __________________________

Will you accept substitutions?  Yes _______ No__________

NAME OF VARIETY

QTY

PRICE

AMOUNT

SHIPPING           1 to  5 tubers $6.00                            6 to 10 tubers $8.00                          11 to 15 tubers $10.00                          16 to 50 tubers $12.00                  Over 50 tubers, please contact us for shipping charges All orders will be shipped via Priority Mail       No orders shipped before 1^st Week in March           Washington orders add 8.7% sales tax

Sub Total: $ ________.______ Postage & Handling: $ ________.______ Washington Sales Tax: $__________._____ Total: $ __________._____