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

TOTAL

SHIPPING          1 to   5 tubers $4.00                            6 to 10 tubers $6.00                          11 to 15 tubers $7.00                       Add $1.00 per each                      additional five tubers over 15             Shipping before March 1st add  $2.00 All orders will be shipped via Priority Mail           Washington orders add 8.7% sales tax

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