EmailMe Form - Wild Iris Rows Order Form

Wild Iris Rows Order Form
wildirisrows.com

Name

Prefix

First

Last

Suffix

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Email

Phone Number

###

####

Iris Varieties Requested (Quantity, Name, Cost)

Please list quantity, name, and total cost for each variety (i.e. 2 Ample Charm $8)

Substitutions (Optional)

You may list possible substitutions in case we are sold out of certain varieties.

Iris Total

Shipping

$10 for the first 10 plants plus 25 cents for each additional plant

Total Cost (Irises + Shipping)

Payment Method

PayPal

Money Order

Check (before August 1st)

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