Bloomingfields Farm       DAYLILIES FOR BEAUTIFUL SUMMERS
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HOW TO ORDER
  Postal Mail
 
Mail   Order   Form           

Please PRINT OUT and COMPLETE this Order Form. (At File, choose Print).

SEND TO:   Bloomingfields Farm,   P O Box 5,   Gaylordsville, CT 06755-0005

YOUR NAME ________________________________________________________|

Address ________________________________________________________|

           __________________________________________________________|

Town __________________________________ State ________ Zip _________|

BILLING NAME ________________________________________________________|

Address ___________________________________________________________|

           ___________________________________________________________|

Town ___________________________________ State _______ Zip _________|

E-mail __________________________________ Phone____________________|

___Check or Money Order ___MasterCard ___VISA
Card #__________________________________________ Exp. Date__________|

3-digit Card Verification #________ Signature_____________________________|
How
Many
Daylilies Price
3-fan plant
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Daylilies |___________|
Shipping and Handling
($12.00, plus $0.75 per plant,
up to a maximum of $35.00)
|___________|
Subtotal |___________|
Thank you
for your Order
Connecticut customers add
Sales Tax on Subtotal
|___________|
Total enclosed |___________|

May we substitute a similar Daylily of equal or greater value for any variety
which is sold out? ____ Yes ____ No.  (Or view Online Catalog, updated daily).

Shipments by Priority Mail on Mondays. Ship when ? ________________________|

more daylilies


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P O Box 5, Gaylordsville, Connecticut 06755  ~  www.bloomingfieldsfarm.com