2009 Order Form
DAVID BURDICK
Grower of Daffodil Flowers and Bulbs & More
PO Box 495                                                     413-443-1581
Dalton, MA 01227                         www.daffodilsandmore.com
Email: daffodil@berkshire.net
Customer Name            
Address              
City       State   Zip  
Telephone No.     email      
  Text Box: (Please provide telephone/email  so we may contact you if there is a question regarding your order.)
         
Ship To    (if different than above)        
Name              
Address              
City       State   Zip  
Quantity Item Price   Total Price
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Text Box:          Packing & Shipping Total # of Bulbs/Plants        Total P&S Cost     1 -  5                                  $   7.00     6 -10                                  $   9.50    11-15                                  $ 12.00    16-20                                  $ 13.50    21-25                                  $ 15.00    > 25         $15.00 plus 0.50 each additional      
             
        Sub-total    
   

MA 5% Sales Tax ( MA addresses only)

    
      Packing & Shipping (see table at left)    
        Total Enclosed    
       

MAKE ALL CHECKS PAYABLE TO: David Burdick
Preferred Substitutions/Special Requests
Do Not Substitute