Woodland's Dahlias
P.O. Box 1468
Woodland, WA 98674

(360) 225-8925
Email: billmishler@gmail.com

DATE: __________________

NAME: ________________________________________________________________________

ADDRESS: _____________________________________________________________________

CITY:____________________________STATE ______________ ZIP CODE:  _____________

PHONE: _____________________________  Email:___________________________________

REQUESTED SHIPPING DATE: __________________________ (If other than April 1^st.)

NAME OF VARIETY

QTY

PRICE

TOTAL

Check or Money Order must accompany your order. Allow 15 days for processing of personal checks. Add Washington state sales tax if applicable. All orders sent first class mail. Add $2.50 to shipments before March 15^th.

Sub Total: $ ________.______  Sales Tax: $ ________.______ Shipping: $ ______$5.00____ Total: $ ________.______