Gold Coast Daylilies

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 and Handling Fees: $20.00 US + $1.00 for each plant after 4
Desired Ship Date:
(All prices are US funds only, please.)

Quantity Ordered Names of Cultivars May we
Total Price
Check #   SUBTOTAL
List your choice of substitute plants: SHIPPING
CA clients, 7.25% sales tax:

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.

Tee Lily Gardens

Teresa Bettencourt
310 Maciel Avenue
Roseville, CA 95678
Tel: 916-616-9944 or
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