Stork 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 Advertising Other
STORK ORDER
Baby Boy or Baby Girl?	Please select Boy Girl
Name of baby?
Baby's birth date?
Baby's birth weight?
Personalised message?
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