Wedding Bells order form
We cannot accept internet payment as yet. When you have sent your order through please Tel: +44 (0)1673 828410 Fax: +(44) 08717 150310 with your payment details.   CLICK HERE TO PRINT A POSTAL/FAX FORM If you wish to fax or post through your order form with credit/debit card details (or cheque made payable to Rob and Sue Roebuck if sending by post) please click here and use the printable form provided.
PERSONAL DETAILS
Your name:
Email address:
Telephone number:
Your name and address:
Delivery name and address:	type delivery address in here (if different from your address)
How did you hear about us?	Please select Existing customer Craft fair Word of mouth Internet Advertising Other
WEDDING GIFT ORDER 1
Name of bride?
Name of groom?
Date of wedding?
Venue (if known)?
Time of wedding (if known)?
Personalised message?
Personalised design and colours (for painted horseshoe)
WEDDING GIFT ORDER 2
Name of bride?
Name of groom?
Date of wedding?
Venue (if known)?
Time of wedding (if known)?
Personalised message?
Personalised design and colours (for painted horseshoe)
WEDDING GIFT ORDER 3
Name of bride?
Name of groom?
Date of wedding?
Venue (if known)?
Time of wedding (if known)?
Personalised message?
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 22/05/11
UK prices (£11.25 per wedding bell plaque in the UK)	Do not charge UK price 1 gift = £12.25 2 gifts = £22.50 3 gifts = £33.75 --------------------------------------------
EU prices (£11.75 per wedding bell plaque in the EU)	Do not charge EU price 1 gift = £11.75 2 gifts = £23.50 3 gifts = £35.25 --------------------------------------------
Rest of the world prices (£12.50 per wedding bell plaque ROW)	Do not charge ROW price 1 gift = £12.50 2 gifts = £25.00 3 gifts = £37.50 --------------------------------------------
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)	alternatively you may fill in another order form
Please indicate how we can expect payment
Mastercard Visa Debit Cheque
PLEASE CALL/EMAIL US IF YOU HAVE ANY PROBLEMS WITH THIS ORDER FORM
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