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Bearded Iris Order Form

 

Ordering, payment delivery: To order, please print this form, fill in and return by post with payment. Please state a second choice, if choosing varieties marked *, as they are limited in numbers. Please make payment by cheque (limited cheques acceptable) to: Dublin Bay Irises, P.O.Box 573 Wanaka, Central Otago. Fax: 03 443 4184. E-mail: Coleen - Dublin Bay Irises
If you would like to pay by Internet Banking please e-mail us.

  Name: ________________________________________________________  
    BLOCK LETTERS PLEASE    
  Address: ________________________________________________________  
    ________________________________________________________  
  e-mail ______________________________
    Towards the end of the season some varieties may be sold out.  
    May we substitute? Yes No    
         
  Quantity
Variety
$
 
         
         
         
         
         
         
         
         
         
         
         
         
         
   
Subtotal
   
   
Packing & Postage
   
   
TOTAL
   
  If receipt required please tick