Topguns Daylily Garden
10116 W. Wilshire Blvd., Yukon, OK 73099
Phone Number: (405) 889-3284
topgundaylilies@gmail.com
Date  Name: 

Mailing/UPS Delivery Address 
City  State   Zip Code 
Area Code Phone: E-Mail Address:

Shipping:  Choose one: Fedex    or U S Postal Service Priority Mail
Shipping Fees:  $15 for 1-3 varieties, $1 for each additional. International will be priced on case by case basis.
Desired Ship Date:
(All prices are US funds only, please.)

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Quantity Ordered     Names of Cultivars
May we 
substitute?
 Unit 
Price		 Total Price
 
May we substitute?
   SUBTOTAL
List your choice of substitute plants:  SHIPPING

Shipping $15 for 1-3 varieties plus $1 each additional

GRAND TOTAL

Method of Payment:
 Visa [    ]  MasterCard [    ]   Personal Check  ____________________________________

Card Number ________________________________________ Exp. Date ______________ V/Code (back of Card): _______
Paypal Payments to Robert Scott - yukontomustang9834@gmail.com

Please enclose your order form & your check or money order, payable to "Robert Scott", for the GRAND TOTAL and mail both to us at the address above.
Please print this order form out and Mail to the above address.