Gold City Flower Gardens
Betty Amend
1675 South Carpenter Lane
Cottonwood, Arizona 86326
Tel. 270-776-6584
Name:
Shipping Address:
 
City:
State:
Zip:
Phone:
E-mail:
Payment
Method
Check Enclose
Money Order
IMPORTANT NOTE
Billing Address is different than Shipping Address :
or for UPS delivery instructions (rural residents & P.O. Box holders) please add details to back of this form.
Quantity Name of Variety Each Price Total Price
       
       
       
       
       
       
       
       
       
       
Use back of order form for additional space. Total from reverse side  
May we substitute if sold out? Yes
No
Substitution/Daylily Bonus List:

 

Desired shipping date
(weather permitting)
TOTAL (no minimum order)  
Sub-total  
KY residents add 6% sales tax  
United States Postal Service (USPS) Priority Mail with confirmation receipt
($27.70 for orders of $35 or less, $30.70 for orders of $36 to $75, $35.70 for orders of $76 to $200,
$45.70 for orders of $201 to $300, $60.70 for orders $301.00 to $400.00 $70.70 for orders $401.00 to $500.00 $80.70 for orders over $500.00.) 		 
GRAND TOTAL