Bloomingfields Farm Daylilies - - - Daylily Ordering by Mail

	Bloomingfields Farm DAYLILIES FOR BEAUTIFUL SUMMERS
You are here HOW TO ORDER Postal Mail
		Mail Order Form

Please PRINT OUT and COMPLETE this Order Form. (At File, choose Print).

SEND TO: Bloomingfields Farm, P O Box 5, Gaylordsville, CT 06755-0005

YOUR NAME ________________________________________________________|

Address ________________________________________________________|

__________________________________________________________|

Town __________________________________ State ________ Zip _________|

BILLING NAME ________________________________________________________|

Address ___________________________________________________________|

___________________________________________________________|

Town ___________________________________ State _______ Zip _________|

E-mail __________________________________ Phone____________________|

___Check or Money Order ___MasterCard ___VISA

Card #__________________________________________ Exp. Date__________|

3-digit Card Verification #________ Signature_____________________________|

How
Many Daylilies Price
3-fan plant
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Daylilies |___________|

Shipping
(9.00 plus $0.50 per plant,
up to a maximum of 25.00) |___________|

Subtotal |___________|

Thank you
for your Order Connecticut customers add
Sales Tax on Subtotal
|___________|

Total enclosed |___________|

May we substitute a similar Daylily of equal or greater value for any variety
which is sold out? ____ Yes ____ No. (Or view Online Catalog, updated daily).

Ship when? __________________________________________________________|

How Many	Daylilies	Price 3-fan plant
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	Daylilies	\|___________\|
	Shipping (9.00 plus $0.50 per plant, up to a maximum of 25.00)	\|___________\|
	Subtotal	\|___________\|
Thank you for your Order	Connecticut customers add Sales Tax on Subtotal	\|___________\|
	Total enclosed	\|___________\|