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Clack's Dahlia Patch<br />
5585 North Myrtle Road, Myrtle Creek Oregon 97457 USA<br />
Phone: 541-863-4501 E-mail:ginger@clacksdahliapatch.com<br />
Name: _<br />
Address:, Phone: _<br />
City: State:, ---"Zip: E-mail: _<br />
QUANTITY PRICE VARIETY PRICE TOTAL<br />
Quantity Total SHIPPING TOTAL<br />
TOTAL PRICE<br />
Will you accept substitutions? YES NO _<br />
OUR CHOICE YOUR CHOICE- PLEASE LlST _<br />
SHIPPING: Add the following shipping costs to all mail orders in the United States:<br />
1-10 tubers: $9.00 11-20 tubers: $13.00 Over 20 tubers: $15.00<br />
Add an additional $5.00 for airmail service--check desired shipping date<br />
2nd Mon March____ 1st Mon Apr 1st Mon May _<br />
4th Mon March 3rd Mon Apr 3rd Mon May _<br />
Outside of U.S. $21.00 for phytosanitary certificate:lnternational shipping: $1 a tuber<br />
website:www.clacksdahliapatch.com
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