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Chapman Iris
8790 Wellington Road 124, Guelph,
 Ontario  N1H 6H7
 (519) 856-0956
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, NS, 13% HST ON, NB, NF , all other Canadian Provines, 5% GST
TOTAL
Note: Bearded and Beardless require seperate forms.
Shipping and Handling: Ontario - $12.00 plus .25 for each plant over 10.  
Outside Ontario - $15.00 plus .35 for each plant over 10. All parcels sent Expedited mail. USA $20.00 plus .35 for each plant over 10