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PRINTABLE ORDER FORM 

NAME:

Moree Daylily Nursery

ADDRESS:

PO Box 1393

 

MOREE  

                                   POSTCODE:

NSW   2400

TELEPHONE: FAX: 02 6752 8009

 * Don't forget to add substitutes on back of form  (please note plants cannot be sent to WA)

Qty

Daylily Name

Price

Qty

Daylily Name

Price

           

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

           
           

  

 

 

 

 

 

  

 

 

 

 

 

  

 

 

 

 

 

    Payment Details - please circle
 

*   I enclose my cheque / money order

*   Please charge to my credit card        


Ca
rd No.  .................................................  

Expiry Date  ……..../………...         

Cardholder Name: …………………….…

Signature: ………….................…........…

 Subtotal .........................

    Add Postage  ..............

   Up to 10 plants :  $10

    10 to 20 plants:   $20
  
     21 plus plants
:    $30


Total..................................