100 Chapman Rd.
Castle Rock, WA 98611 360-751-1280 e-mail:

Name______________________________________________ Date _________________________

Address ________________________________City________________State__________Zip _____

Phone: _______________________________E-mail:_______________________________________

Date wanted: _________________ (I ship mostly on Tuesdays)







If you run out of room, use back of form total from back side




Shipping 1-4 tubers $9.00, additional tubers .50, to a maximum of $20.00

(No charge if picking up. You will be notified when they are ready)

I do ship internationally - contact me for cost of Phyto certificate and shipping.

Subtotal with shipping  

Washington residents add sales tax for your area


Total enclosed with order


List choices for substitutions on back.
To pay by Paypal, e-mail order to me, then send payment to
If you wish to pay by credit card, please call me -- 360-751-1280

Our tubers are guaranteed to grow(not responsible for customer negligence, weather conditions, or rodent damage), be true to name, and free from disease. Any problems must be reported by September 1st of growing season. We reserve the right to request the return of any failed dahlias(s) before replacements will be made. Replacements of the same variety or a better one will be sent the following spring.