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Order Form

 Chuck Chapman Iris
 RR #1 (8790 WR124), Guelph,
 Ontario  N1H 6H7
 (519) 856-4424
Date:________________________________________ Telephone#:__________________________
Name: ____________________________________________________________________________
Address: __________________________________________________________________________
City: _____________________________________ Prov: _________ Postal Code:______________
E-Mail: _______________________________Your Agricultural Zone: ________________________

If out of variety - substitute?     [     ] or Refund: [     ]
Quantity
Name of Variety
Amount
 
Bearded? ____  Beardless? ____                                              Subtotal
     Shipping & Handling                            
Taxes Canadian residents 12% HST, BC, 15% HST NS, 13% HST ON, NB, NF , all other Canadian Provines, 5% GST
TOTAL
Note: Bearded and Beardless require seperate forms.
Shipping and Handling:   
Ontario - $10.00 plus .25 for each plant over 15.
Outside Ontario - $12.00 plus .35 for each plant over 15. All parcels sent Expedited mail. USA $15.00 plus .35 for each plant over 15
2010