Please Print out and complete this Order Form
and send with your payment to:
Pennine Lavender, Greenbottom Farm, Hoylandswaine, Sheffield,
South Yorkshire, S36 7JA
Your Details
Name
Address
Postcode
Daytime Telephone
Delivery Address (if
different)
Name
Address
Postcode
Message (if to be
sent as a gift)
Item Description
(please state colour option where appropriate)
Product Code
(e.g. HF1)
Price
Qty
Total Price
Add P&P for mainland
UK
Please phone for deliveries
elsewhere
Grand Total
Payment Details
Cheque (made payable to Pennine Lvender)
Switch (please quote issue number or valid from
date)
Mastercard
Visa
Cardholder Address (if
different from 'Your Details')
