Daylily Meadows ~ 1295 Patterson Farm Road ~ Pinnacle, NC 27043-9267

Daylily Meadows Logo Image
 Click on the flower to go to Home Page. Link To Daylily Catalogue Question or Comments please Email Daylily Meadows

ALL CHECKS or Money Orders TO BE PAYABLE TO PAUL FOSTER for the GRAND TOTAL amount.

Print out the form & mail it with payment to the above address.

You can FILL in your order in the boxes below THEN send it to your printer OR PRINT LEGIBLY AFTER PRINTING THE FORM
USE OPTIONS in your printer setup "SHRINK TO FIT PORTRAIT PRINTING" FOR ONE PAGE PRINTING

 Date:   Full Name:  

 Full Shipping Address:        NO PO BOXES PLEASE

 City: State: Zip Code:   NO INTERNATIONAL SHIPPING

 Area Code: Phone Number:   Email Address:  

 Shipping: We ship via USPS Priority Mail.  Please keep in mind our shipping times/dates.  Minimum Order is $75.00 before shipping cost.

 Please note that the desired ship date has to be at least 10 days after we receive your check    Desired Ship Date:

Qty
     Name of Cultivar
May we
substitute? Yes or No

Per Unit/Plant
Price
Total
Price
Did you indicate above that we may substitute?
If so, list your choices of substitute plants below.		 SUBTOTAL:
Regular Order Shipping Charges: $15 + $2 per plant:
Substitute- Name of Cultivar
Substitute-Name of Cultivar
Substitute-Name of Cultivar
GRAND TOTAL: 
(All prices are US funds only.)