Printable Order Form

  Please print this form and post or fax to the address at the bottom of this page.
NB: e-mail orders are not available at the moment.		  
 
Customer Order No Date
Delivery Address Invoice Address (If different from delivery address)
---- --
Business Name
PostCode PostCode
Tel No Tel No
Fax Fax
 
 
Description & Colour -
Please telephone to confirm availability & total cost
 Quantity
(No of Bunches)		 Price Cost
Total
Carriage (to be confirmed at time of order)
V.A.T.
TOTAL TO PAY
 
 
--
Payment Details
--
Name Cash Cheque Credit Card
Address
--
--
County PostCode
Tel No Home Tel No Work
- Card Type: Access/Visa/MasterCard /Switch/Delta
Card No
Valid From Valid To
CV2
(last 3 digits)		 Issue Number
(For Switch Cards Only)

If paying by cheque, please enclose payment with your order form and make cheques payable to essentiallyhops

“Essentially Hops”
Chalkpit Farm, School Lane,
Bekesbourne, Canterbury,
Kent CT4 5EU
Tel: 01227 830666