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BALSALL HEATH JUNGLE ORDER FORM
2005
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Your Full Name
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Your Address
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Your Postcode
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Your Phone Number
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Your Email Address
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Balsall Heath Jungle Member / Associate / Friend
/ Customer?
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NEW MEMBERS: Balsall Heath Jungle Membership Form
attached?
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WHAT PLANTS DO YOU WANT? write code below
e.g. RW1 (x number ordered if more than 1)
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How many?
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Full
Price
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Substitute accepted?
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Price x
How many?
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1
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Yes/No
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£
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2
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Yes/No
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£
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3
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Yes/No
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£
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4
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Yes/No
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£
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5
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Yes/No
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£
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6
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Yes/No
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£
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SUB-TOTAL BEFORE DISCOUNTS
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STBD =
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£
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Pay by September 3 (10% discount)?
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%
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Multiply
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Will collect 3 December (10% discount)?
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%
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STBD by
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Order form received by 3 September 2005 (10% discount)?
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%
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total
%
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Membership Discount (10 or 20%)?
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%
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discount
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ADD UP YOUR DISCOUNTS and calculate ££ to take
off
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%
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x STBD =
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-£
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Fruit order subtotal =
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STBD
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- discount =
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£
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WHAT OTHER GOODS DO YOU WANT? write code below e.g. LG1
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How many?
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7
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8
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9
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10
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11
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SUBTOTAL ALL GOODS
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Membership fees until date:
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£
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Donation (helps us in our work with schools etc)
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£
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TOTAL TO PAY
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£
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Surcharge for late collection (10% of plant
order)
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£
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Adjusted total
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£
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