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PLEASE SEND CHECK OR
MONEY ORDER TO
JIM BANNER
BANNER FLOWER FARM
3532 104TH AVE.
ALLEGAN, MI. 49010
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ALL ORDERS RECEIVED WILL BE CONFIRMED
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DATE: _________________
NAME: ____________________________________________________________
ADDRESS: __________________________________________________________
CITY: ________________________ STATE _____________ ZIP CODE: _________
PHONE: _____________________ Email: ____________________________
Will you accept substitutions? Yes _______ No__________
(Equal or Greater Value)
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2009 DAHLIA TUBER MAIL ORDER FORM
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SUBTOTAL
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MICHIGAN RESIDENTS PLEASE ADD 6% SALES TAX
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PLEASE ADD SHIPPING AND HANDLING
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IF EARLY SHIPPING DATE REQUESTED PLEASE ADD $3.00
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TOTAL AMOUNT
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SHIPPING CHARGES:
$0.00 - $99.99 = $8.95
$100.00 - $199.99 = $10.95
$200.00 - $499.99 = $13.95
$500.00 and over = $18.95
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bannerflowerfarm.com
ALL RIGHTS RESERVED
2008
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Thank You For Ordering Your Dahlia Tubers From Banner Flower Farm
Every order is important to us.
Banner Flower Farm does not
have a minimum order requirement.