2010 Order Form

Open Orchard Tree Order 2010 order for first 5 due August 1st

We will try and give as many of your top choices as possible.

Choices	Description
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
Total to Pay

(max 5 for $100 then updated list will be reposted for second round of orders)

Name:

Contact Details:

Method of Payment:

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Copy this to a word document and post with Cheque made out to SCES

Postal Address: South Coast Environment Society 154 Palmerston St, Riverton

Or

Email order form or details and pay with internet banking:

Email: info@sces.org.nz

SCES 06 0954 0032740 01

Once we have received your payment we will contact you to arrange pick up dates.