Order Form

ORDER FORM

To : Taylors Clematis Nursery
Sutton Road, Sutton
Askern,Doncaster
DN6 9JZ
South Yorkshire
United Kingdom

Date of Order : / /

Please supply the plants below to:

( Mr / Ms / Mrs / Miss ) : ..........................................

Address : .....................................................................
......................................................................................
Postcode : ......................Tel : .....................................

Please Note : A signature is required on delivery of your
plants. If there are any special instructions please indicate.
.....................................................................................
.....................................................................................
.....................................................................................
.....................................................................................

Payment by Cheque : Please write your name and address
on the back of the cheque.

Payment by Credit Card : Please tick box below

VISA

SWITCH

DELTA

MASTERCARD

SOLO

My Card Number is :

Expiry Date :

/ /

Issue No :

............................

( Switch & Solo only )

Signed : .....................................................................

Please print the name which is on the card :

........................................................................................

If your choice of variety is out of stock and you wish to be placed on a waiting list, Please tick the box at the side of each variety.

Name of Variety	£	P













Total Price of Plants
Plus Postage Cost
Total Amount

I agree to your terms and conditions and have also checked that all my information given on this order form is correct.

Signed ...............................................................................

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