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Print this order form and fax or mail to us when completed. Please read our terms and conditions before completing your order

DELIVER TO:

 POST OR FAX THIS FORM TO: 
NAME:
ADDRESS:   GLEBE FARM HEDGING,
LANGHAM,
COLCHESTER,
POST CODE: ESSEX.
DAYTIME TEL. C04 5PP
FAX NO. TEL/FAX: 01206 323200
E-MAIL e-mail: hedging@glebfarm.demon.co.uk
QUANTITY
DESCRIPTION
SIZE
PRICE EACH
TOTAL
         
         
         
         
         
         
         
         
         
         
         
         
  DELIVERY CHARGE UK MAINLAND : £9.95 (EXCEPT THE NORTH OF SCOTLAND and 'INSTANT HEDGING' ) Call for details.      
PAYMENT METHODS:

I ENCLOSE A CHEQUE MADE PAYABLE TO 'GLEBE FARM HEDGING LTD

PLEASE DEBIT MY CREDIT/DEBIT CARD WITH THE AMOUNT SHOWN IN TOTAL BOX (Visa, Mastercard, Switch, Delta & Solo)

 SUB-TOTAL
CARRIAGE
9.95
TOTAL  
CARD NO
    
EXPIRY DATE
    
SECURITY CODE The last three digits on the signature strip of your card    
SWITCH ISSUE NO.    
SWITCH VALID FROM DATE    
Full name as it appears on your Card: Signature:
Address if different from delivery:
PLEASE STATE WHERE PACKAGES CAN BE LEFT IN YOUR ABSENCE
DATE APPROX. DATE REQUIRED
OFFICE USE
REC'D
CONFIRMED
CARE SENT
PAID
CHECKED
DESPATCHED
COLLECT
FOLLOW UP
ADVERT

Glebe Farm Hedging Ltd. Registration No. 4046852. VAT No. 759666270