Section 1 - YOUR DETAILS *

Name
Address with postcode
Contact tel no
E-mail

Please indicate whether you would prefer us to contact you by e-mail or telephone. *

I would prefer to receive confirmation of my order

By e-mail By telephone

Section 2 - DELIVERY DETAILS

If the plants are to be sent to a different address to the one above please enter the name, address and telephone number below:

If the plants are a gift, please write your greeting to be displayed on the top of the box:

Section 3 - YOUR ORDER *

SPECIAL OFFER CHOICE

Please state which special offer you would like to purchase and the number of boxes.

Section 4 - MOST CONVENIENT DAY OF DELIVERY *

Please state which day of the week is most convenient for delivery from the drop-down list.

No preference Tuesday Wednesday Thursday

Section 5 - HOW WOULD YOU PREFER TO PAY *

Please choose your preferred method of payment from the drop-down list.

Please note, no payment is necessary until you receive your order number.

Cheque Credit/debit card

Section 6 - COMMENTS

Please enter any questions or comments in the space provided below:

Section 7 - Where did you hear about us?

We would be grateful if you could indicate how you found our nursery. The information provided will help us evaluate our advertising methods. Thank you.

How did you reach our website?

Internet search, if so which search term did you use? Magazine advert, if so which magazine? Leaflet, if so which? Friend/Family Other - Please state Details:

 

Thank you for filling in our online form. We will be in touch shortly to confirm your order and total cost.