ORDER FOR HANGING BASKET BRACKET(S)

All fields marked with an asterisk are mandatory
Name: *
Delivery address Line 1: *
Delivery address, line 2
Town/City: *
Zip/Post Code: *
Email Address: *
Daytime telephone number: *

If you are not available to sign for your package, our carriers would like to know where, on your property it can be left e.g "in porch" or "round back" but NOT "with neighbour" In the absence of a delivery instruction, your package may be taken back to the depot, from where you will have to arrange collection.
Delivery Instructions: *
Bracket type: *
Total quantity: *

If you are ordering brackets of more than one type please tell us in the "comments" box below how many of each type you would like.
Security Ring? (16" & 18" heavyweight only) Yes
No
Motif: (not applicable for 16"/18" heavyweight)

Use the Comments box below to tell us of any deadlines, or to give cardholder name and address if different from delivery name/address. Also to tell us how many of each type of bracket you require if placing a mixed order.

Or anything else you think we should know.
Comments:

If you would like to order hanging baskets as well, please give details in the box below.
Ancillary Items:
Card number: *
Expiry Date: *
Secure code: (last 3 numbers on signature strip) *
Maestro cards only. Start date or issue number:
Name on card: *

Thank you for your order. Please contact us if you do not receive, within 3 working days, an email giving order number and anticipated delivery date.