Print Page - Complete Form - Mail or Fax
DAYLILY WORLD ORDER FORM
P.O. Box 1612, Sanford, FL 32772-1612
phone: (407) 322-4034 before 9:00pm -- fax: (407) 322-4026

Name
Address
City
State
 Zip
Phone
Email
UPS Directions
Preferred Shipping Date
List your choice of gift plants on a separate sheet page and include w/order form
QTY
CULTIVAR
PRICE
QTY
CULTIVAR
PRICE
1 . . . . 15 . . . .
2 . . . . 16 . . . .
3 . . . . 17 . . . .
4 . . . . 18 . . . .
5 . . . . 19 . . . .
6 . . . . 20 . . . .
7 . . . . 21 . . . .
8 . . . . 22 . . . .
9 . . . . 23 . . . .
10 . . . . 24 . . . .
11 . . . . . .
DAYLILY COLLECTIONS
 . .
12 . .. . . 1 . . . .
13 . . . . 2 . . . .
14 . . . . 3 . . . .
Sub Total
.
Florida Only 7% Sales Tax
.
Three Days Guaranteed: $15.00
 
Second Day Air: $20.00
.
Next Day Air: $25.00
  
Add Per Plant @ $.50 on orders over 5 plants
  
TOTAL AMOUNT
 .
METHOD OF PAYMENT Check Enclosed
Visa Mastercard Discover American Express -- Expiration
Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Signature: ___________________________________________