Teresa Daly
T's Flowers & Things
P.O. Box 164
Delphi, IN 46923
Phone: 765-564-9045

Date: _____________________

SHIP TO:
Name:_____________________________________________________________________
Street Address:______________________________________________________________
City, State, Zip:______________________________________________________________
E-mail address (for any questions about order):______________________________________
      or phone number:_________________________________________________________

SEED ORDER FORM

Item Number Description of Seed Item Qty. Price each Total
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
Packaging & Shipping
AMOUNT...............ADD
1 to 10 packets..........$ 5.70
11 to 20 packets..$ 6.10
21 to 40 packets...$ 6.40
41 or 60 packets..$ 7.10
61 or 100 packets..$ 8.90
Total Seed Order: $_______________
Packaging & Shipping: $_______________
Canadian Customers Add $.50 Shipping: $_______________
Sub-Total: $_______________
Add 7% Sales Tax
(Indiana only):
$_______________
TOTAL ENCLOSED: $_______________

MAKE PAYMENT PAYABLE TO: "TERESA DALY"



NOTE: THE SHIPPING CHARGES ON THIS FORM ARE CORRECT.   IF YOU HAVE SEEN A DIFFERENCE BETWEEN THESE SHIPPING CHARGES, AND THOSE LISTED ONLINE, THAT IS BECAUSE IT IS LESS EXPENSIVE FOR ME TO SHIP ORDERS WHEN PAYMENT IS MADE BY CHECK OR MONEY ORDER AS VERSUS PAYPAL.