Heirloom Roses Canada
P.O. box 9106 Halfiax, NS  B3K 5M7 (902) 832-2832
website: www.oldheirloomroses.com  Please use our contact-us page to email us.
DAYLILY & PERENNIAL PRINTABLE ORDER-FORM
To print the form simply hold down the "Ctrl Key" located on the bottom left had corner of your keyboard and then hit the letter P.  
Your printer screen should then pop up and follow the instructions on it. OR simply print out the page and fill it in by hand.
Mail to the above address with payment. thank-you.   
Please take the time to read our "How to Order" Page before filling out and sending in your Order.

NAME:_________________________________________ORDER DATE:___________________
ADDRESS:_____________________________________________________________________
TOWN/CITY:________________________________PROV/STATE:_________________________
POST./ZIPCODE:______________________EMAIL:_____________________________________
TEL.#:____________________________________SHIPPINGDATE:________________________
We will contact you via email should any questions arise from your order.
QUANTITY
PLANT SIZE
PLANT DESCRIPTION
PRICE EACH
PRICE
         
         
         
         
         
         
         
         
         
Plant sub total
  
Shipping Charges
  
(two previous entries) Sub Total:
  
ADD PROV. TAXES: NS,NF,NB, PAY 13%
REST OF CANADA PAY 5%
  
U.S.residents export documents
 12.00 US
U.S Shipping is via express air mail
due to the delays encountered at
customs.
  
PLANT ORDER TOTALS
  
PAYMENT ENCLOSED
  
CANADIAN SHIPPING CHARGES
Provinces NS,NB,PEI,  = $12.00    expedited parcel
Provinces: NF. ON, PQ, = $ 14.00   ""          ""
Provinces: MB.,AB, SK.,BC = $16.00  ""       ""
U.S. ORDER SHIPPING CHARGES
All imports into the U.S. require plant inspection documents
stating that they are free of disease fee is $ 12.00 per order
PLEASE EMAIL OR PHONE US FOR A SHIPPING QUOTE
TO YOUR STATE.
MINIMUM ORDER TO U.S. ...........................$25.00
List alternative choices here. Your bonus plants and substitutes when plants are previously sold out will come from this list.