SEA-TAC DAHLIA GARDENS

2OO2O DES MOINES MEM. DR.

SEATTLE, WA 98918

206-824-3846 Email: Lou.Eckhoff@gmail.com

 NAME:_________________________________________ DATE: _____________________

ADDRESS: __________________________________________________________

CITY:_______________________STATE ___________ ZIP CODE: ____________

PHONE: ________________________  Email: _____________________________

REQUESTED SHIPPING DATE: (SEE TERMS) __________________________ 

May we substitute if sold out? Yes___ No___

QTY

STK #

VARIETY NAME

Price

Amount

Shipping $6 for orders less than $35.00 Free shipping for orders over $35.00 Washington State only add 9.5% tax Cash, check or money order only. No credit or debit cards are accepted.

Sub total: __________ Tax: __________ Shipping: __________ Total: _________ ___