Cottage Nurseries                                                        Name:         ___________________________________

Thoresthorpe                                                               Address:    ___________________________________

Alford                                                                                                ___________________________________

Lincolnshire                                                                                      ___________________________________

LN13 OHX                                                                                        ___________________________________

Tel: 01507 466968                                                                             ___________________________________

Fax: 01507 463409                                                                 Tel:    ___________________________________

Quantity

Name and Variety of Plant

Price per Plant

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL

 

POSTAGE

 

TOTAL

 

 PLEASE MAKE CHEQUES PAYABLE TO COTTAGE NURSERIES

Card Orders: Visa  o  Mastercard  o  Maestro / Switch o

Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Exp. Date: _ _ / _ _ / _ _      Start Date: _ _/ _ _ /_ _      Issue Number (Maestro / Switch only): _ _