2017 Order Form
North Country Daylilies
444 Goosen-Regan Rd., Buskirk, NY 12028
Phone: (518) 753-0356
E-mail: northcountrydaylilies@gmail.com
Web site: www.longlesson.com (NEW!)

Preferred Shipping Date:________________ Substitutions? Yes No

Check one: BONUS ____ *FREE SHIPPING ____ EXTRA FANS____

Name:_____________________________________________________

Address:___________________________________________________

City: ________________________________State:_____ Zip:__________

Telephone: _____-_____-_______ E-Mail:__________________________

Quantity Cultivar Price Total

_____ __________________________________ _______ _______

_____ __________________________________ _______ _______

_____ __________________________________ _______ _______

_____ __________________________________ _______ _______

_____ __________________________________ _______ _______

Subtotal (this page): ________

Subtotal from back page: __________

Total plant order: __________

NY Tax (8%) (NY residents only): _________

Shipping charge (none if order is picked up or FREE SHIPPING option): ________

Phytosanitary Certificate (Canadian delivered orders only—$25.00): _________
(no shipping charge on plants picked up at Can-Am Classic)

Total: _________


 

 

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