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Barwinnock Herbs Barrhill, Ayrshire, KA26 0RB |
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to Mail Order |
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Delivery Name and address.. . . |
Your name and address if different | |||
| your e-mail address | ||||
| Common or Latin Name | ref | Quan | cost | amount |
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| Postage- please add 4.00 pounds sterling for UK destinations |
| Card No | ||
| Start date ...../..... | expiry date ...../..... | issue No. .......... |
| Name on card | signature | |