Manatawny Creek Farm
 HYBRID DAYLILIES
 Tim & Michelle Glick
64 Fisher Mill Road
Oley, PA 19547
 (484) 525-0356

ORDER FORM

 HOW TO ORDER

  1. Send your order now by completing the information below and clicking on the SUBMIT button at the end of the form. Print a copy for your records before submitting.
  2. You can call or email for availability or questions before you order.

*  indicates required fields

MAILING INFORMATION

Your Name:*  
Street Address:*  
Street address required for mail order plants.
City*  
State*  
Zip*  
Daytime phone:*  
Fax #  
E-Mail Address*  

 

Enter plant name and quantities ordered for each. Determine the total number of plants ordered. Then refer to the Retail sheet for your actual price per plant name.

Hybrid Name Quantity   Unit Price Total
Amount
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Plant Sub-total
Free with order over $100.         Postage $8+ $0.50 per plant
Subtotal
PA residents, add 6% Sales Tax
Total

 

Preferred Shipment Date*        

 

INSTRUCTIONS OR COMMENTS

 


PAYMENT METHOD (Orders shipped after payment received)
Please select payment method

check or money order
PayPal

 


NEXT STEPS
1.  Print this page for your records
2.  Click "Send Order" below

3.  Mail payment after receiving email confirmation of your order.  (please email me if you don't receive a confirmation from me within 3 days.)