Surname: _____________________________
Address: _______________________________________________
_______________________________________________
County: ______________________________________
Postcode: _____________________
Telephone: _____________________
Email: ____________________________
Contact me via: Phone / Email (delete as applicable)
| Item description |
QTY |
Options (e.g left
or right sided wear, colour etc) |
Unit Price |
Subtotal |
| Subtotal |
||||
| Postage |
£4.50 |
|||
| Total |
I enclose a cheque for £_____________ , made payable to J. Langford-Hume. I understand that no goods will be dispatched until funds have cleared.
Additional information:
Please Post to:
Millinery By Janis
26 St Sebastian Crescent
Fareham
Hampshire
PO16 7BX