Body & Soul Fax Order Form (Print clearly in BLACK)

FAX: 08717 143340 Tel: 01483 202918

Surname:   Date Now:    
A/C Num:   Order for Week No:    
Street:   Delivery Day:    
Postcode:   Special Instructions:
Tel Day:  
Tel Ev:  
NOTE: Please use these symbols for Quantities: "e" each/number, "kg" by Wgt, "x" bag/outer
Code Quantity Name Code Quantity Name
1     21    
2     22    
3     23    
4     24    
5     25    
6     26    
7     27    
8     28    
9     29    
10     30    
11     31    
12     32    
13     33    
14     34    
15     35    
16     36    
17     37    
18     38    
19     39    
20     40    

TOTAL NUMBER OF ITEMS ORDERED: