Wedding gift order fax/postal form
After completing this form either:
(1) Fax to +(44) 08717 150310
(2) Post to Rob and Sue Roebuck, STORK AND CRADLE, The Cottage, Normanby-le-Wold, Market Rasen, Lincoln, LN7 6SS, ENGLAND
If posting cheques made payable to Rob and Sue Roebuck can also be sent
PERSONAL DETAILS
Your name:
Email address:
Telephone number:
Your name and address:
Delivery name and address:
How did you hear about us?	Please select Existing customer Craft fair Word of mouth Internet Advertising Other
WEDDING GIFT ORDER 1
Which gift would you like to order?	Horseshoe Wedding Plaque Wedding Scene Painted Horseshoe ---------------------------------------------------------------------------------------
Name of bride?
Name of groom?
Date of wedding?
Venue (if known)?
Time of wedding (if known)?
Personalised message? (e.g. with love from Ella)
Personalised design and colours (for painted horseshoe)
WEDDING GIFT ORDER 2
Which gift would you like to order?	Horseshoe Wedding Plaque Wedding Scene Painted Horseshoe ---------------------------------------------------------------------------------------
Name of bride?
Name of groom?
Date of wedding?
Venue (if known)?
Time of wedding (if known)?
Personalised message? (e.g. with love from Hettie)
Personalised design and colours (for painted horseshoe)
WEDDING GIFT ORDER 3
Which gift would you like to order?	Horseshoe Wedding Plaque Wedding Scene Painted Horseshoe ---------------------------------------------------------------------------------------
Name of bride?
Name of groom?
Date of wedding?
Venue (if known)?
Time of wedding (if known)?
Personalised message? (e.g. with love from Kiki)
Personalised design and colours (for painted horseshoe)
PLEASE INDICATE THE COST OF THE ORDER (price includes postage & packing)
Prices subject to change: Please use the latest form from the website. Thank you 30/05/2010
EU prices (£11.25 per horseshoe or £13.50 per plaque or £14.25 per scene or £16.00 per painted horseshoe or £11.25 per bell.)	Do not charge EU price 1 horseshoe = £11.25 1 plaque = £13.50 1 scene = £14.25 1 painted horseshoe = £16.00 1 Bell = £11.25 --------------------------------------------
Rest of the world prices (£12.00 per horseshoe or £14.00 per plaque and £15.00 per scene or £16.50 per painted horseshoe or £12.00 per bell)	Do not charge ROW price 1 horseshoe = £11.25 1 plaque = £13.50 1 scene = £14.25 1 painted horseshoe = £16.00 1 Bell = £12.00 --------------------------------------------
EU prices (£10.75 per horseshoe or £12.75 per plaque or £13.50 per scene or £15.50 per painted horseshoe.)	Do not charge EU price 1 horseshoe = £10.75 1 plaque = £12.75 1 scene = £13.50 1 painted horseshoe = £15.50 2 horseshoes = £21.50 1 horseshoe + 1 plaque = £23.50 1 horseshoe + 1 scene = £24.25 2 scenes = £27.00 2 plaques = £25.50 1 plaque + 1 scene = £26.25 3 horseshoes = £32.25 2 horseshoes + 1 plaque = £34.25 2 horseshoes + 1 scene = £34.75 1 horseshoe + 2 plaques = £36.25 1 horseshoe + 2 scenes = £37.75 1 horseshoe + 1 plaque + 1 scene = £37.00 3 scenes = £40.50 3 plaques = £38.25 --------------------------------------------
Rest of the world prices (£11.50 per horseshoe or £13.50 per plaque and £14.00 per scene or £16.00 per painted horseshoe)	Do not charge ROW price 1 horseshoe = £11.50 1 plaque = £13.50 1 scene = £14.00 1 painted horseshoe = £16.00 2 horseshoes = £23.00 1 horseshoe + 1 plaque = £25.00 1 horseshoe + 1 scene = £25.50 2 scenes = £28.00 2 plaques = £27.00 1 plaque + 1 scene = £27.50 3 horseshoes = £34.50 2 horseshoes + 1 plaque = £36.50 2 horseshoes + 1 scene = £37.00 1 horseshoe + 2 plaques = £38.50 1 horseshoe + 2 scenes = £38.50 1 horseshoe + 1 plaque + 1 scene = £39.00 3 scenes = £42.00 3 plaques = £40.50 --------------------------------------------
IF YOU WISH TO ORDER FURTHER WEDDING GIFTS PLEASE INCLUDE DETAILS HERE
Further order details (please remember to also include the cost of any extra items)
PAYMENT DETAILS
Payment method	Mastercard Visa Debit Cheque
Cardholders name
Credit card number
Expiry date
Security Code (Last 3 digits on reverse of card)
Cardholders signiture
Rob and Sue Roebuck, STORK AND CRADLE, The Cottage, Normanby-le-Wold, Market Rasen, Lincoln, LN7 6SS, ENGLAND Email: robandsueroebuck@btinternet.com    Tel: +44 (0)1673 828410 Fax: +(44) 08717 150310
	design - CJR Consultancy