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PLEASE PRINT THIS ORDER FORM, COMPLETE, AND MAIL or FAX to:
Simonton Bridge Daylily Farm, 2300 Simonton Bridge Road, Watkinsville, GA, 30677-2167
Phone: (706) 769-7652 Fax: (706) 769-5141 Email:
SimontonBr@aol.com
Name
Address
City
State
Zip
Phone
Email
Shipping Date
We ship by USPS Priority Mail - $50 minimum order
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