Funderburk Daylilies

Name:_______________________________________________

Address:_____________________________________________

City:___________________State:_______Zip______________

Phone:_________________________

Date you would like to have shipped:_______________

Quantity----- Daylily Name----------------------Price Per Flower----- Total

|______ | ____________________________ |_________       | _______

|______ | ____________________________ |_________       |_______

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179 CR 39 Houston MS 38851 (662)-456-9599
www.funderburkdaylilies.com
funderburks7@bellsouth.net
Payment Method Check Enclosed_:_____

Shipping Priority Mail $7.00 Plus $0.50 Per Plant

Total Gift Plant List If we may substitute please list sub plants May we substitute if sold out? Yes_______ No_________