To view our full color descriptive catalog visit us on the web at http://www.JimsHostas.com

Jim's Hostas
2010 Mail Order Form

11616 Robin Hood Drive
Dubuque, IA 52001
563-588-9671

http://www.jimshostas.com
JSchw94560@aol.com

Ship To:

Name:_____________________________
Street:_____________________________
City:_______________________________
State:______________________________
Zip:_________________
Phone Number:______________________
E-Mail Address:_____________________

Desired Delivery Date:_____________

Quantity
Name
Price Each
Total
         
         
         
         
         
         
         
         
         
         
Subtotal
  
Iowa 7% Tax
  
Shipping
Flat Rate $10
 $10.00
Total