Jewellery 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 Hettie 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 Facebook Advertising Other
Jewellery Order 1
Which design would you like to order?	Please select a design (in order of appearance) Parrots Leaves Roses Butterflies (orange) Butterflies (yellow) Butterflies (green) Apples Pears Carrots Ears Fish Marrows Cats Seahorses Birds (blue and white) Dolphins
Type of fastening	Please select a type Silver plated Gilt
Jewellery Order 2
Which design would you like to order?	Please select a design (in order of appearance) Parrots Leaves Roses Butterflies (orange) Butterflies (yellow) Butterflies (green) Apples Pears Carrots Ears Fish Marrows Cats Seahorses Birds (blue and white) Dolphins
Type of fastening	Please select a type Silver plated Gilt
Jewellery Order 3
Which design would you like to order?	Please select a design (in order of appearance) Parrots Leaves Roses Butterflies (orange) Butterflies (yellow) Butterflies (green) Apples Pears Carrots Ears Fish Marrows Cats Seahorses Birds (blue and white) Dolphins
Type of fastening	Please select a type Silver plated Gilt
Jewellery Order 4
Which design would you like to order?	Please select a design (in order of appearance) Parrots Leaves Roses Butterflies (orange) Butterflies (yellow) Butterflies (green) Apples Pears Carrots Ears Fish Marrows Cats Seahorses Birds (blue and white) Dolphins
Type of fastening	Please select a type Silver plated Gilt
Jewellery Order 5
Which design would you like to order?	Please select a design (in order of appearance) Parrots Leaves Roses Butterflies (orange) Butterflies (yellow) Butterflies (green) Apples Pears Carrots Ears Fish Marrows Cats Seahorses Birds (blue and white) Dolphins
Type of fastening	Please select a type Silver plated Gilt
PLEASE INDICATE THE COST OF THE ORDER (price includes postage & packing)
UK prices (£6.00 plus £1.00 postage and packing)	Please Select 1 pair = £7.00 2 pairs = £13.00 3 pairs = £19.00 4 pairs = £25.00 5 pairs = £31.00 --------------------------------------------
IF YOU WISH TO ORDER FURTHER QUANTITIES 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
Hettie Roebuck Jewellery, The Cottage, Normanby-le-Wold, Market Rasen, Lincoln, LN7 6SS, ENGLAND Email: hettieroebuck@hotmail.com    Tel: +44 (0)1673 828410 Fax: +(44) 08717 150310
	design - HHNSR