Order Form - Zaytoun Palestinian Medjoul Dates
Full Details on how to order and Terms and Conditions are here: http://theorganicshed.com/zaytoun-dates/ Contact us on info@theorganicshed.com or 07725 815 846 for more info.
Email address *
What's your First Name? *
Your answer
What's your Surname? *
Your answer
What's Your Mobile Number? *
Your answer
How many 5 kg boxes would you like? *
Each 5kg box is currently £42 Please contact us if you would like to order more than 20 boxes
How many 1 kg boxes would you like? *
Each 1kg box is £12 Please contact us if you would like to order more than 20 boxes
What's Your Postcode? *
Your answer
Would you like to collect from an address closer to your home? *
Within a 3 mile radius from your home, depending on distributor availabilty. Additional £1 charge. ( to be billed closer to collection date). Otherwise collection from B28, Hall Green Birmingham or delivery to your door.
Would you like your order delivered to your door? *
Delivery is £4.99
For Delivery to your door, What's your full delivery address?
Your answer
Please state friend's / referrer's full name *
This allows us to track how customers hear about us and also helps your referrer / friends raise some money. If this doesn't apply please put 'n/a' as your answer. Thank you!
Your answer
Any comments
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A copy of your responses will be emailed to the address you provided.
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