Order Form

PLEASE PRINT THIS ORDER FORM, COMPLETE, AND MAIL
Quarles Daylilies , 159 Hickory Ridge Rd, Waddy, KY 40076
phone: (502) 829-5975

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        Payment through PayPal 
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1 12
2 13
3 14
4 15
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9 20
10 21
11 22
Gift Certificate Amount
Sub-Total
($9.00 plus $0.50/plant over 3 plants) Postage
6% sales tax for KY residents
Checks payable to Quarles Daylilies                TOTAL