| From |
Delivery address if different/ instructions if not at home |
| Title(Mr,Mrs,Ms etc) | |
| Name. | |
| Address | |
|
|
|
| Postcode | |
| Tel | Tel |
| Quantity | Variety | £ | p |
| ORDER TOTAL + carrage charges. |
£ | ||
| When is your order required? april-late april-may-late may- |
| Method of Payment (delete as applicable)(cheques payable to Station House Nurseries.) |
| Cheque, Mastercard, Visa, Switch, Delta, Postal order, National garden gift vouchers |
| security code ............................................................ |
| Expiry Date ..............................................................Start Date |
|
Issue Number(switch) |
| Card Number (the embossed number) |
| Signature |