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 GRADUATION GIFT ORDER 1 Name of Genius? Qualification? Subject? Year of Graduation? Personalised message? GRADUATION GIFT ORDER 2 Name of Genius? Qualification? Subject? Year of Graduation? Personalised message? GRADUATION GIFT ORDER 3 Name of Genius? Qualification? Subject? Year of Graduation? Personalised message? 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 30/05/10 UK prices(£14.00 per scene £13.50 per plaque) Do not charge UK price 1 owl scene = £14.00 1 owl plaque = £13.50 2 owl scenes = £28.00 2 owl plaques = £27.00 3 owl scene = £42.00 3 owl plaques = £40.50 -------------------------------------------- EU prices(£15.25 per scene £14.00 per plaque) Do not charge EU price 1 owl scene = £15.25 2 owl scene = £30.50 3 owl scene = £45.75 1 owl plaques = £14.00 2 owl plaques = £28.00 3 owl plaques = £42.00 -------------------------------------------- Rest of the world prices(£16.50 per scene £14.50 per plaque) Do not charge ROW price 1 owl scene = £16.50 2 owl scene = £33.00 3 owl scene = £49.50 1 owl plaques = £14.50 2 owl plaques = £29.00 3 owl plaques = £43.50 -------------------------------------------- IF YOU WISH TO ORDER FURTHER GRADUATION 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