This is a Javascript Order form for your convenience, just fill in and print !
If you have Javascript disabled then print off and fill in all the details required.
Customer Order Form

Customer Name :
Address :
Post Code :
Telephone Number :
Love Lane Farm, Bickington,
Newton Abbot, Devon,
TQ12 6JT, United Kingdom.
 
Tel / Fax : 01803 521390
Int Telephone : +44 (0) 1803 521390

Reference Number : 469

Item No.

Product Description

Total   


If paying by cheque please make
 payable to :- B. J. Dickenson
Sub Total : £
Post & Packing : £
 : £
Payment Method
Payment :
Date : Signature :

Please hit "Order Total" button when you have completely filled in the form.

Send to address stated above on Order Form. (Please allow up to 21 days for delivery)

Back