ORDER FORM

RAINSWOOD GARDENS DAYLILY NURSERY ORDER FORM

Address
Rainswood Gardens
Bill Kirby
P.O. Box 717
Heathsville, VA 22473

Telephone
(804) 580-8104
.Email: orders@rainswoodgardens.com

HOW TO ORDER USING THIS FORM

You may send your order on-line by completing the PAYMENT, MAILING, and PLANT ORDER information below and clicking on the SUBMIT button at the end of the form. Print a copy for your records before submitting.

We will reserve your plants, and your order will be processed after your payment is received. If payment is not received within 10 days we will assume the order is cancelled.

PAYMENT METHOD (Let us know how you will be paying)

CHECK (Make payable to: Rainswood Gardens, P.O. Box 717, Heathsville, VA 22473-0717.)

PAY PAL
Desired shipping date:

SHIPPING ADDRESS

Your Name:
Street Address:
City, State, Zip
Daytime phone:
Fax #
E-Mail Address	IMPORTANT FOR CONFIRMING ORDER
Substitution ok if needed? Yes No List your bonus and substitution choices below in the "Instructions or Comments box".
Enter plant name and quantities ordered and price extension for each.

Quantity	CULTIVAR	Unit Price	Total Amount








































	Sub-total
	Priority Mail Shipping Charge		$6.00
	+ $0.50 per plant over 2
	Virginia residents add 5% sales tax
	Total

INSTRUCTIONS OR COMMENTS

THANK YOU FOR YOUR ORDER.