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Please
print this form on your own printer, complete the form and fax it to us. |
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Date: |
Cheque: Please make cheques payable to: Vireyas NZ |
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Name: |
Direct Credit: National Bank 060350 0042323 00 |
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Phone: |
Credit Card payments NOT available at present |
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Fax: |
Email: |
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Address: |
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Please list your required varieties below, we will advise any that are O/S & advise your nearest stockist, or we will give you a total to pay by cheque or DC if there is no suitable stockist near you. Catalogues can also be paid by DC or cheque. |
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Your Order - Please supply me the following items: |
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Qty |
Name of Plant |
Each | Total |
FERTILIZER
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SUBSTITUTES Sometimes we
cannot send the exact plants you want because they may be sold out etc.
Having hundreds of varieties, we can usually substitute your choice with
one that is very similar. Tick here if you will accept substitutes. |
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$ 6.00 |
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Freight North Island per box (6 - 9 plants) Urban $ 16 - Rural $ 20 |
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Freight South Island per box (6 - 9 plants) Urban $ 24 - Rural $ 30 |
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Nutricote, 450 gm, 12 mth, Great Vireya fertilizer |
$ 7.00 |
OFFICE USE Invoice No: Date Sent: Ticket No: |
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Nutricote, 900 gm |
$ 14.00 |
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Nutrifeed, 800 gm |
$ 12.00 |
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Nutrifeed, 2 kg |
$ 23.00 |
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TOTAL |
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