Jewellery order form
Use this form to order online securely using PAYPAL, you do not need a PAYPAL account to order.
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
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