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Print and send to
Hillcrest Harmony Flowers
Box 24, Churchbridge, Sask.S0A 0M0
306 896 2992

Name:                                                                                 Tel.:
Address:                                                                                   Date:
City:                                                                             Prov:      Zip:
Cat#
Name
Quan.
$Each
$Total
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Line # 1

Subtotal [1]

Line # 2

Lily bulb order for fall shipment only;                                                 
Less 5% if postmarked before Sept. 1st.             

Line # 3

Subtract line [2] from line [1]  ===  Subtotal [2]

Line # 4

Saskatchewan Residents Add PST of 5%   Use Subtotal [2]

Line # 5

Add Shipping and Handling charges; look at ordering information page;

Line # 6
Gift certificate; Cat# C 98 [See gift certificate form below]
Line # 7

             

Line # 8
 
Line # 9

Please include Check or Money Order.     Total;  

If variety is not in stock do you want similar color and quality substitutes? Yes____ No _____
If you would like specific substitutes please list below and we will try our best to accommodate you.
 
 
 
 
 

Hillcrest Harmony Flowers Gift Certificate Order Form

Fill in the information required and we will forward the certificate and
a copy of our catalogue directly to [ ] Your friend or to [ ] You
Please chose one of the above.


Recipientís Name ________________________________________________
Address ________________________________________________________
City ___________________________________________________________
Prov. __________ Postal Code _____________________________________
Enter dollar amount here and on space provided on order form. $______ . ___
Enter message to be included with certificate___________________________
______________________________________________________________
______________________________________________________________
Cat. No. # G C 98

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