Delivery Details (billing address if paying by card) Name:........................................................................................Address:........................................................................................................................................................................................Town:.........................................................................................County:...................................Post Code:..............................   Tel.:....................................... Email: .......................................

Payment Method - Debit/Credit Card or Cheque/PO
Card Number  ............  ............  ............  ............    Security no.                              Signature .............................................Expiry Date ........./..........                      Card Type (eg. Visa).....................  Issue No./Start Date  .........                 Name on Card   ......................................................................
Please send your completed order to:
The Plantsman’s Preference,
Lynwood, Hopton Road
Garboldisham, DISS
Norfolk, IP22 2QN
 
Cheques payable to
The Plantsman’s Preference
or you may FAX to: 01953 688194 if paying by card. DO NOT EMAIL THIS FORM
Date Sent:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal         £         :

P&P   

Total Due      £         :
        £         :

Please give any dates when you are not able to receive your order:
 

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Quantity                                                 Plant Name                                                  Price Each        Total