Don Herr Daylilies

PRINT THIS ORDER FORM, COMPLETE, AND MAIL OR FAX

Don Herr Daylilies, 2363 Henbird Lane, Lancaster, PA 17601

Name
Address
City
State
 Zip
Phone
Email
UPS Directions
Shipping Date
May We Subsitute?
Yes No
METHOD OF PAYMENT      Check Enclosed 
 
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
 .
6% sales tax for PA residents
  
USPS Priority Mail Shipping Charges $12.00 plus 50 cents per plant  
TOTAL
 .