2010 ORDER FORM
DAVID BURDICK

Grower of Daffodil Flowers and Bulbs & More
PO Box 495                                                     413-443-1581
Dalton, MA 01227                         www.daffodilsandmore.com
Email:
dcbdaffodil@verizon.net

Customer Name ____________________________________________________________________________________
Address ____________________________________________________________________________________
City _________________________________________________     State ________     Zip ___________
Telephone No. _________________________________________________     email ___________________________
                                      (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

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
     
Packing & Shipping
Total # of Bulbs/Plants       Total P&S Cost
   1 -10                                       $ 9.50
  11-15                                       $12.00
  16-20                                       $13.50
  21-25                                       $15.00
  > 25           $15 plus 0.50 each additional

Sub-total       
     MA 6.25% 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 _______
                 _________________________________________________________________
                _________________________________________________________________
                _________________________________________________________________
                _________________________________________________________________