ORDER SHEET
Ayers Rainbow of Dahlias
336 Bremner Lane
Winston, OR 97496
(541) 580-8352 or (541) 580-5236 Email: hlmayers@charter.net
ORDER DATE: _____________________
NAME:______________________________________________________________
ADDRESS: __________________________________________________________
CITY:_______________________STATE ___________ ZIP CODE: ____________
PHONE: ________________________ Email: ______________________________
REQUESTED SHIPPING DATE: __________________________
Ordering for 2010 is now closed.
Quantity
Price
Amount
Shipping: 1-9 tubers $8.00 SUBTOTAL: __________._____
10-20 tubers $9.00
21 + tubers $12.00 SHIPPING: ___________._____
Check or money order must accompany your order.
Credit/Debit cards not accepted. TOTAL: ____________.____
Thank You