Scruffo Bear Designs

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Personalised Bone China Mug

    

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If you prefer to pay by credit card then click: ONLINE ORDER FORM

    

When ordering your Personalised Mug you may choose to have the Child's Name and Birth Date only,

or you can add any of the other details listed below

    

Please fill in making sure that all details are correct as mistakes cannot be rectified

PLEASE USE BLOCK CAPITALS.

       
         
Child's First Name ........................................................................

(maximum 20 letters)

(Please tick)

 □Boy. □Girl.

  

 

    
           
Birth Date (dd/mm/yyyy) ......../......../............        
           
Birth Weight .........lbs........oz.        
           
Time of Birth (hour/minutes) ...............|..............  

□am

  

□pm

  (please tick)
           
Special Day (i.e.Christening) ....................................................    
           
Special Date (dd/mm/yyyy) ......../......../............        
           
Design (please tick)

□Rocking Horse Ride

□Paddy Paws Teddy

  
           
Message on base of mug (i.e.With love from....) .....................................................................
     
.........................................................................................................................................................
Please fill in your contact details          
           
Title.................................. Name...............................................................................
           
Address...................................................................................................................
............................................................................................................................
............................................................................................................................
Postcode...........................  
Telephone.......................... Email.................................................................
           
Delivery Name/Address .....................................................................................................
(if different from above) .....................................................................................................
........................................................................................................................................................
___________________________________________________________________________
Comments or requests regarding your order
......................................................................................................................................................
.........................................................................................................................................................
 
How did you find out about Scruffo Bear Designs? (Please tick relevant box)

□ Search Engine □ Magazine Advertisement  □ Previous customer
Have you checked that all spelling and details are correct?    
The Price of your Personalised Bone China Mug is £18.50 plus £3.50 Postage & Packing  
Total Price: £21.00 (GBP) Please make cheque payable to: Janice Daughters
Send Order Form with Cheque to:  
Janice Daughters (Scruffo Bear Designs),
Bradford Cottage, Finghall, Leyburn, North Yorkshire. DL8 5NA
 
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