Iris Hills Farm
Colin Campbell, Proprietor
540-868-2123
IrisHillsFarm@outlook.com
www.IrisHillsFarm.com
2014 Order Form
To place an order, fill out the form including the name of each iris you are ordering, along with the
number of rhizomes you want of each one. Purchases must be prepaid; Mail the completed form along
with your check for the order total, sales tax, plus shipping and handling to:
Iris Hills Farm
465 Chapel Road
Middletown, VA 22645
Pick shipping month: July or August
Name:
Shipping Address: (no PO boxes)
Phone Number:
E-mail address:
If we are sold out of an item do you want us to substitute? List
names of substitutes you would be willing to receive.
In case we have a question about your
order.
Qty. Name of cultivar
Price
Qty.
Name of cultivar
Price
Total
------
Sub-total
------------- $
------- Tax VA residents 5.3 %
------- *Shipping and handling
------------- $
------------- $
------- Total Balance Due
------------- $
*Shipping and handling charges: $10 for the first 8 plants for Eastern time zone, $12 for Central time
zone and $15 for Mountain and Western time zones. For more than 8 plants, please add .50 per plant for
the Eastern and Central time zones and .75 per plant for the Mountain and Western time zones.