X-Stitch Birds -
order form (Please print and complete)
RETURN TO HOMEPAGE
To place an order with us, please
fill out the details below and send the form together with your
payment in £ sterling to:
| X-Stitch Birds 'Southlands' High St. Wroot, Doncaster S. Yorks, DN9 2BZ United Kingdom |
Postage & Packing per order - please add to cost of item/s | ||||
| Order Value | up to £9.99 | £10.00 - £19.99 | £20.00 - £49.99 | £50.00 and over | |
| 1st Class - UK | £1.00 | £1.50 | £2.00 | Free | |
| Airmail - Europe | £1.50 | £2.00 | £2.50 | Free | |
| Airmail - World | £2.00 | £2.50 | £3.50 | £2.00 | |
|
YOUR DETAILS *(If paying by credit/debit card we need your Tel. no in order to process your card) |
|||||
|
Name |
|
Credit/debit card details |
|||
|
Address line 1 |
|
Card Type |
|
||
|
Address line 2 |
|
Name on card |
|
||
|
City/Town |
|
Card No. |
|
||
|
State/County |
|
Valid from |
|
||
|
Zip/Post code |
|
Expiry date |
|
||
|
Country |
|
Issue No. |
|
Security code |
|
|
*Home Tel. No. |
|
|
|||
|
E-mail address |
|
||||
|
PLEASE SUPPLY ME WITH THE FOLLOWING GOODS |
|||
|
QTY |
DESCRIPTION |
PRODUCT REF. NO. |
PRICE (£) |
|
|
|
|
£ : |
|
|
|
|
£ : |
|
|
|
|
£ : |
|
|
|
|
£ : |
|
|
|
|
£ : |
|
|
|
|
£ : |
|
|
|
|
£ : |
|
SUB TOTAL |
£ : |
||
|
POSTAGE & PACKING |
£ : |
||
|
TOTAL |
£ : |
||
| If you are taking advantage of our special 4 for 3 offer don’t forget to include your free kit | |
|
Please debit my credit/debit card for the amount shown below Signed |
|
| I enclose a cheque (drawn on a UK bank)/postal order/international money order for: | |
|
£ : |
Please make cheques etc.
payable to R.P.Lambe
We do not retain your
details or pass them on to any other companies or organisations
