Teresa Daly
T's Flowers & Things
P.O. Box 164
Delphi, IN 46923
Phone: 765-564-9045

Date: _____________________

SHIP TO:
Name:_____________________________________________________________________
Street Address:______________________________________________________________
City, State, Zip:______________________________________________________________
E-mail address (for any questions about order):______________________________________
      or phone number:_________________________________________________________

SEED ORDER FORM

Item Number Description of Seed Item Qty. Price each Total
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
Packaging & Shipping
 AMOUNT...............ADD
1 to 3 packets..........$ 2.00
4 to 10 packets........$ 2.50
11 to 20 packets..$ 3.00
21 to 40 packets...$ 3.75
41 or 100 packets..$ 4.75
Total Seed Order: $_______________
Packaging & Shipping: $_______________
Canadian Customers Add $.50 Shipping: $_______________
Sub-Total: $_______________
Add 5% Sales Tax
(Indiana only):		 $_______________
TOTAL ENCLOSED: $_______________

MAKE PAYMENT PAYABLE TO: "TERESA DALY"