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CLACK'S DAHLIA PATCH
5585 NORTH MYRTLE ROAD, MYRTLE CREEK, OREGON 97457 USA
PHONE: 541-863-4501
NAME _____________________________________________________________________
ADDRESS ____________________________________________PHONE________________
CITY ________________________ STATE_____ ZIP ________ E-MAIL_______________
| ..QUANTITY.. |
..$ TUBER.. |
....................VARIETY.................... |
..TOTAL $.. |
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| SHIPPING |
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| TOTAL |
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WILL YOU ACCEPT SUBSTITUTIONS? YES ____ NO ____
OUR CHOICE _________ YOUR CHOICE - PLEASE LIST
SHIPPING: Add the following shipping costs to all mail orders in the U.S.:
1-10 tubers....$9 11-20 tubers....$13.00 Over 20 tubers....$15.00
Add an additional $5.00 for airmail service
Check desired shipping date
2nd Mon Feb___ 2nd Mon Mar ___ 4th Mon Mar___
1st Mon Apr___ 3rd Mon Apr___ 1st Mon May___
Outside of U.S. $21.00 for phytosanitary certificate and $20.00 for overseas shipping.
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