Please print this form
Blueberries and Blooms Dahlia Order Form
|
Code |
Name |
Price |
Quantity |
Total Price |
Comment |
|
A2 |
A La Mode |
$4 |
|||
|
A3 |
Alfred C. |
$4 |
|||
|
B1 |
Ballerina |
$4 |
|||
|
B2 |
Bold Accent |
$4 |
|||
|
B3 |
Bubble Gum |
$4 |
|||
|
C1 |
Christmas Carol |
$4 |
|||
|
C2 |
Cornel |
$4 |
|||
|
C3 |
Cha Cha |
$4 |
|||
|
D2 |
Drummer Boy |
$4 |
|||
|
D3 |
Duet |
$4 |
|||
|
F1 |
Ferncliff Copper |
$4 |
|||
|
F2 |
Fool's Gold |
$4 |
|||
|
G1 |
Gitts Attention |
$4 |
|||
|
G2 |
Gonzo Grape |
$4 |
|||
|
H2 |
Honey Dew |
$4 |
|||
|
H3 |
Hissy Fitz |
$4 |
|||
|
J2 |
|||||
|
J3 |
Joanna Petite |
$4 |
|||
|
L3 |
Leo Jelito |
$4 |
|||
|
L4 |
Lilac Mist |
$4 |
|||
|
M1 |
Mardy Gras |
$4 |
|||
|
M2 |
Mingus Toni |
$4 |
|||
|
M3 |
Margaret Ellen |
$4 |
|||
|
N1 |
Nepos |
$4 |
|||
|
N2 |
Nettie |
$4 |
|||
|
O1 |
Optic Illusion |
$4 |
|||
|
O2 |
Orchid Lace |
$4 |
|||
|
O3 |
Oregon Reign |
$4 |
|||
|
P3 |
Pinelands Pam |
$4 |
|||
|
P5 |
Primetime |
$4 |
|||
|
P6 |
Peaches |
$4 |
|||
|
P7 |
Pari taha Sunrise |
$4 |
|||
|
R3 |
Ryan C. |
$4 |
|||
|
R4 |
Rip City |
$4 |
|||
|
R5 |
Rebecca Lynn |
$4 |
|||
|
S2 |
Skywalker |
$4 |
|||
|
S5 |
Stacy Rochelle |
$4 |
|||
|
S6 |
Swan's Desert Storm |
$4 |
|||
|
S7 |
Seduction |
$4 |
|||
|
T1 |
Ted’s Choice |
$4 |
|||
|
W1 |
Watercolor |
$4 |
|||
|
W2 |
Weigen |
$4 |
|||
|
Y1 |
Yellow Bird |
$4 | |||
|
Unidentified to-date |
$4 |
|
Subtotal |
$ |
|
Deposit |
$ |
|
If your order is shipped |
Call for prices based on quantity |
|
Total |
$ |
| Name | |
| Address |
|
| Phone | |
| Date |
If printing out and ordering from the web, please mail your order form and remit the total by check or money order. Your order will be shipped to you between April 30 and May 15.
If ordering in person, you will be contacted in late April - mid May, when your order is ready. Your balance will be due at that time.
All prices are in U.S. Dollars. Orders for tubers are filled by order date.
Thank you for your order!
Blueberries and Blooms
13555 Ekroth Rd.
Bay City, Oregon 97107
503-322-0291
1- 800-313-5824