|
ORDER
FORM
Please print out this page and post it to us, with payment. Please
provide all the details requested to ensure that we provide you
with your specifications, if you need to do so on an additional
sheet, please do.
Personal
Details:
Name
___________________________________________________________
Delivery
Address __________________________________________________
_________________________________________________________________
Telephone
________________________ Mobile _________________________
| Name
of Item Required |
Size,
Colour etc |
Price |
| |
|
|
| ______________________________________ |
_____________ |
________ |
| |
|
|
| ______________________________________ |
_____________ |
________ |
| |
|
|
| ______________________________________ |
_____________ |
________ |
| |
|
|
| ______________________________________ |
_____________ |
________ |
| |
|
|
| ______________________________________ |
_____________ |
________ |
| |
|
|
| ______________________________________ |
_____________ |
________ |
| |
|
|
| |
Total
|
________ |
Cloaks
:
Please provide us with your height:___________
Additional comments?
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Payment
Method:
Please enclose a cheque with your order for the full amount made
payable to "Ivy Moon Design"
or if you prefer to order by credit or debit card, please
call us to place your order +44
(0)1994 484 293
Signature:_________________________________________
Please
fill out this order form and send it with your payment to Ivy Moon
Design, Pantywaun, Blaen Y Coed, Carmarthen, SA33 6EY.
|
