Country Dahlias
Order Form 2010 		 COUNTRY DAHLIAS
195 Mathison Rd Winchelsea Vic 3241
Telephone: 03 52 672 389
Facsimile: 03 52 672 989

Name…………………………………………

Postal Address………………………………….

……………………………………………...Postcode…………………

Telephone (……)………………Preferred Delivery Date……………
Orders will be despatched from October until Early November
Please refer to Terms of Sale and Freight

Quantity

Description and Catalogue Number

Unit Price

Total
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
Subtotal  
Freight (SEE RATES)  
Deposit  
Balance Due  

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