Order Form.

*Name:   

*Postal Address:

 Street:                                    *Phone: 

Road:                      

 R.D.:                                       *Fax:    

Suburb:                   

 Town:                                                              *Email:    

City:                        

Post Code:                                        *Mobile Phone:     

Please hold plants for collection:   Yes No

Delivery Address:       Please send plants to this address: Yes NO

 Street/Road:                  

 R.D./Suburb:          

Town/City:               

   QTY                                    NAME OF PLANT                PB            PRICE        TOTAL PRICE

                                                                                              Total Value of Plants:

Please fill in all marked (*) areas, so that we can contact you more effectively.

Please note that there will be an additional charge for Freight and Packaging (which is charged at cost)! You will be informed of the total cost when we confirm your order.

Substitute Grade of Plants:     Yes No             ¯Substitute Plants:  Yes No

¯If substitutes are required, confirmation from you will be sought.

Your preferred mean's of payment.

Limited amount cheque.   Credit Card.   By other means (Cash/Bank Draft etc).

CREDIT CARD PURCHASE'S (SALES)

When paying by Credit Card, customers are requested to forward details by Fax (06) 755-0319 or Phone (06) 755-0369  (NOT by Email) at your earliest convenience.

THANK YOU.

This form is for use within New Zealand only.  Overseas customers are requested to contact the Nursery.

  (Click on to send the order form)

        (Click on to clear order form)