Gift Certificate Order Form

Island Daylily Farm

Island Daylily Farm Gift Certificate Order Form

Please print this page, fill in the form and mail with your payment (either cheque or money order made out to Island Daylily Farm) to:

Island Daylily Farm

1291 E. Shawnigan Lake Rd.

Shawnigan Lake, B.C. V0R 2W5

Please phone or email us if you have any questions.

Phone: (250) 733-2082

Email: bloom@islanddaylily.ca

YOUR NAME
YOUR ADDRESS
RECIPIENTS NAME
SEND CERTIFICATE TO RECIPIENT YOU OTHER please specify: CERTIFICATE VALUE $________
SHIPPING ADDRESS
If you wish to include a personal greeting please provide the text of your message in the space below.
Your E-mail
Your Phone Number
Certificate Value
Shipping & Handling	$3.00
Total Enclosed

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