Banner Flower Farm
3532 104th Ave.
Allegan, MI 49010
Website - bannerflowerfarm.com
E-Mail Address - bannerflowerfarm@aol.com
Telephone Number - 269/686-8994
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2009 DAHLIA TUBER MAIL ORDER FORM
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DATE:_____________________________________
COMPANY NAME: _______________________________________________
BUYER NAME: ____________________________________________________
ADDRESS: _______________________________________________________
CITY: ________________________ STATE ________ ZIP CODE: __________
PHONE: ________________________ Email: __________________________
PLEASE SPECIFY SHIPPING DATE_____________________________
(This is the date the order leaves our farm.)
Will you accept substitutions? Yes _______ No__________
(Equal or Greater Value)
NAME OF VARIETY
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QUANTITY
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PRICE
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TOTAL PRICE
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SUBTOTAL
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PLEASE ADD SHIPPING CHARGES
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TOTAL AMOUNT
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PLEASE SEND CHECK OR
MONEY ORDER TO:
BANNER FLOWER FARM
3532 104TH AVE.
ALLEGAN, MI. 49010
ALL ORDERS RECEIVED WILL BE CONFIRMED BY EMAIL
Shipping Charges are 12.5 %
Thank You For Ordering Your Dahlia Tubers From Banner Flower Farm
bannerflowerfarm.com
All Rights Reserved
2008
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ORDERS ARE SHIPPED VIA USPS GROUND.
PAYMENT MUST ACCOMPANY ORDER FORM OR BY YOU MAY USE PAYPAL
If additional space is required, please use reverse side of order form.
(If shipping to address
different from billing,
please indicate.)
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No Minimum order requirement