WALNUT GARDENS
4162 Old Walnut Rd, R.R. 7 Alvinston, ON, N0N 1A0
See plant photos and info at WalnutGardens.ca									Date
	PHONE ORDERS					FAX ORDERS			MAIL ORDERS
	(519) 847-5242					(519) 847-5942			Mail this form to the above address.
ORDERED BY						Note! See Ordering information for important details on Iris ship dates.
Name						(Hosta, Daylily, Iris)	Quantity	Name		Price	Total
Address (line 1)
Address (line 2)
City, Prov., Postal code
Email Address
Phone, Fax
Company name
Phone, Fax
SHIP TO (if different from above)
Name
Address (line 1)
Address (line 2)
City, Prov., Postal code
Email Address
Phone, Fax
						Total Qty				AMOUNT
						Ontario, Quebec	Shipping and Handling - $11.00 up to 6 plants			$11.00
METHOD OF PAYMENT							Additional $0.50 per plant after 6 plants
	Check *					Other Provinces	Shipping and Handling - $15.00 up to 6 plants			$15.00
	Money Order *						Additional $0.50 per plant after 6 plants
	* Payable to Walnut Gardens
										TOTAL
All Orders are shipped by Xpresspost.
We do not accept credit cards						May we substitute if an item is out of stock?     Yes     No
Email orders will be processed upon receipt of cheque						(Don't forget to include your substitution list if you picked yes!)
Thank you for your order!