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| Name |
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Declaration - I/we have
read and accept Plant Production Lid Terms
of Trade.
Signed ________________ |
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| Postal Address |
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| Delivery Address |
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| Contact Person |
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| Phone no. |
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| Fax No |
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| Date Ordered |
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| Month Required |
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| Grade Required - Potting
/ Planting Out - delete one |
| This order does /
does not replace all existing orders -
delete as applicable |
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