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PLEASE PRINT THIS ORDER FORM, COMPLETE, AND MAIL to:
Simonton Bridge Daylily Farm, 2300 Simonton Bridge Road, Watkinsville, GA, 30677-2167
Phone: (706) 769-7652   --  Email: SimontonBr@aol.com

Name

Address
City
State
Zip
Phone
Email
Shipping Date
We ship by USPS Priority Mail
May We Subsitute?    Yes No
METHOD OF PAYMENT
Check Enclosed       Money Order Enclosed        Discover/Visa/MasterCard/Amex
Credit Card Number:                                                                       Expiry Date:              CVV No.:      
(Remember: charges will be billed through ATTIC TREASURES, Watkinsville, Georgia 30677)

QTY
CULTIVAR
PRICE


QTY
CULTIVAR
PRICE
1 12
2 13
3 14
4 15
5 16
6 17
7 18
8 19
9 20
10 21
11 22
Gift Certificate Amount
Sub-Total
($15.00 plus $0.50/plant over 3 plants) Shipping
7% sales tax for GA residents
Checks payable to Joann Stewart              TOTAL