Heirloom Roses Canada
P.O. box 9106 Halfiax, NS  B3K 5M7 (902) 832-2832
email: heirloomroses@ns.aliantzinc.ca website: www.oldheirloomroses.com
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.
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 if available should any questions arise from your order.
QUANTIT
Y
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
 25.00
U.S. SHIPPING VIA EXPRESS MAIL
  
All U.S. plants are shipped via express mail
due to the delays encountered at customs.
  
PLANT ORDER TOTALS
  
PAYMENT ENCLOSED
  
CANADIAN SHIPPING CHARGES
$0-$25.00................................................$10.00
$0- $50.00...............................................$12.00
$51.00 - $99.00.......................................$14.00
$100 & UP...............................................$16.00
U.S. ORDER SHIPPING CHARGES
All imports into the U.S. require plant inspection
documents stating that they are free of disease &
insects. Brokerage fees are also charged.
PLEASE EMAIL OR PHONE US FOR A SHIPPING
QUOTE TO YOUR STATE.
MINIMUM SHIPPING TO U.S. ..................$25.00
EXPORT DOCUMENTS...........................$25.00
List alternative choices here. Your bonus plants and substitutes when plants are previously sold out will come from this list.