Green Ixworth

sustainable environmental projects

Green Ixworth Suffolk Bulk Buy

Customer Referance Number (to be added by Green Ixworth)

Name *

First

Last

Delivery address

Phone

Email *

I confirm that the our household income of is within the scheme criteria of £31,000 and £45,000

Materials requested (please tick the boxes that apply)

Quantity required @ £8.15 each

Quantity required @ £5.45 each

Quantity required @ £3.85 each

Quantity required @ £14.33 each

Quantity required @ £15.08 each

Quantity required @ £6.75 each

Quantity required @ £1.19 each (copy)

Quantity required @ £0.99 each

Quantity required @ £33.88 each

114785 KNAUF INSULATION LOFT ROLL 44 COMBI CUT 150mm. 1140×8.050m 9.18 sq.mX 150mm 9.18M2

Quantity required @ £33.86 each

For completion by Green Ixworth

Total number of items ordered

Total cost of order

50% charge to customer (max discount £200)

Green Ixworth authorised signatory

Date authorised

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