Plant Order Form

Required fields are denoted by *

Company/Work Unit *

Contact Person *

Phone Contact *

Email *

Job Reference Name/No. *

Required By Month *

Required By year *

Your order will be assessed for plant availability and you will be contacted within 7 days. If you require a quote it can be supplied once order is confirmed.

List can be attached if insufficient room for order (.xls, .xlsx, .docx, .pdf, .jpg or .csv formats only) Large orders preferred in .xlsx.

Item 1 Description (Botanical Name)

Item 1 Potsize

Item 1 Quantity

Item 2 Description (Botanical Name)

Item 2 Potsize

Item 2 Quantity

Item 3 Description (Botanical Name)

Item 3 Potsize

Item 3 Quantity

Item 4 Description (Botanical Name)

Item 4 Potsize

Item 4 Quantity

Item 5 Description (Botanical Name)

Item 5 Potsize

Item 5 Quantity

Payment Method on Pick Up *

EFTPOS
Invoice

If Invoice Required

Existing Customer
New Customer (approval required before supply)

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