Please print out this form to fill in your order, mail or fax it to us after completion.

Sender:___________________________________________________________________
 
Address:__________________________________________________________________
 
Telephone:______________________________________

to
 
FRUIT HILL FARM
Bantry
Co.Cork
Ireland
fhfeircom.net

PURCHASE ORDER

Please supply the following goods under your terms and conditions:

Qty

Code

Goods Description

Unit price
EUR

Total
EUR

         
         
         
         
         
         
         
         
         
         
         
 + postage and packaging  
 TOTAL EUR  

Please tick: Cheque/PO included:   please send C.O.D.:      Preferred delivery date:____/____/____

Delivery address:_________________________________________________________________________
(only if different from above)

____/____/____          ...................................................................
date                              signature