Wire Refill 14″ (35cm)

Order Form

35cm (14") Refill Wire Summer Basket - £30

Name*

First

Last

Address*

Post Code*

Telephone Number*

Area Code

Phone Number

E-mail*

Special Requirements

Quantity*

Where did you hear about Blooming Baskets by Jo?*

Are you a new customer? (New customers are required to give a £10 deposit, I will contact you soon) *

Yes

Send a copy of this message to yourself:

Type the characters you see here:

* Indicates required fields