Order Form

Date Name:

Mailing/UPS Delivery Address

City State Zip Code

Area Code Phone: E-Mail Address:

Shipping: Choose one: UPS or US Postal Service Priority Mail (USA only)

Shipping Fees: $15.00 US + $.50 for each plant after 4

Desired Ship Date:

(All prices are US funds only, please.)

Quantity Ordered Names of Cultivars May we
substitute? Unit
Price Total Price

Check # SUBTOTAL

List your choice of substitute plants: SHIPPING

CA clients, 7.25% sales tax:

GRAND TOTAL

Please enclose your order form & your check or money order, payable to "Gold Coast Daylilies", for the GRAND TOTAL and mail both to us at the address below.

We also accept visa, mastercard and PayPal. So feel free to e-mail us your order, then call us with your credit card information.

Gold Coast Daylilies
3775 Clover Valley Road
Rocklin, CA 95677
Tel: 916-624-4409 Fax: 916-624-6502

stanholley@sbcglobal.net

Garden location: 3325 Gladding Road, Lincoln, CA