The Country Garden Plant Centre Hadnall, Shrewsbury, Shropshire SY4 3DH Tel 01939 210 380   Fax 01939 210 766 E-Mail : info@countrygardenroses.com BARE ROOT ROSES ORDER FORM Roses despatched on Friday will be delivered Monday No deliveries Saturday or Sunday Patio Roses, Floribundas, Hybrid Tea, Ground Cover, Shrub Roses £7-95 David Austin (English Shrub Roses), Renaissance Shrub Roses, Climbers & Rambling Roses. £9-95 WE DO NOT SEND ROSES OUTSIDE THE UK MAINLAND

QTY Variety Required Bare Root £ Total Quantity Total Value Of Roses     Plus Carriage. Up to and including three roses add £4-95 Four to seven roses add £6-95 Eight roses and upwards add £8-95       Enclosed Total  £    Please Keep A Copy Of This Order WE DO NOT SEND ROSES OUTSIDE THE UK

PAYMENT DETAILS     Payment Method : Cheque      Credit Card   Please charge my :  Visa     Mastercard     Switch Credit Card Number :  Issue date : /   Expiry Date : / Issue Number :  Last 3 digits of Security Number

CONTACT NAME & ADDRESS   PLEASE USE BLOCK CAPITALS Name :  Address :  Post Code :  Telephone :  Email :

DELIVERY ADDRESS (if different from above)   PLEASE USE BLOCK CAPITALS Name :  Address :  Post Code :  Telephone :  Email :     If there is no one in at this address during delivery hours, please add instructions  (i.e. Please leave by back door) SPECIAL INSTRUCTIONS :

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