Orders Within Canada Only
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping Address if Different
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Can We Substitute?
*
Yes
No
Preferred Shipping Date?
Daylily Plants
*
QTY
Daylilly Plants
Price
1
2
3
4
5
6
7
8
9
10
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20
Comments
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