Order Form

1291 Shawnigan Lake Road, Shawnigan Lake, BC V0R 2W5 Phone: 250.733.2082 Toll Free: 888.265.5757 Email: bloom@islanddaylily.ca

Island Daylily Farm Order Form

Please print this, 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 Shawnigan Lake Rd.

Shawnigan Lake, B.C. V0R 2W5

Please phone or email us if you have any questions.

Phone: 250-733-2082

Toll Free: 888-265-5757

Email: bloom@islanddaylily.ca

YOUR NAME

MAILING ADDRESS

SHIPPING ADDRESS (if different from above)

Preferred Shipping Date

E-mail

Phone Number

Quantity	Cultivar Name	Price (each)	Total










Plants sub-total
Total of any discounts or coupons			-
Shipping: $15 for BC or Alberta / $20 for remainder of Canada & USA
Phytosanitary certificate for USA orders: $25
Per plant charge: (Number of plants) x 0.50
Total Enclosed (Canadian Funds)

List possible substitution

cultivars below in order of preference.