| BLUEBIRD HAVEN IRIS GARDEN | (530) 620-5017 | ||
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| 6940 FAIRPLAY ROAD | mhess1863@innercite.com |
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| SOMERSET, CA 95684 | ORDER FORM | Order No:_______ | |
| Name:__________________________________________________ | Date:___________ | |||
| Address:________________________________________________________________ | ||||
| City:__________________ | State:____ | Zip:________ | Phone:(____)____________ | |
| Email:________________________________________________________________ | ||||
| May we substitute with similar color/equal value if sold out? Yes: No: | ||||
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| CA Sales Tax (add 7.25%) CA resident only | |||||
| Shipping and Handling. Please see Ordering terms for shipping rates. | |||||
| TOTAL ENCLOSED | |||||