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Scruffo Bear Designs |
Use your computer print button to print form. |
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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 |
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When ordering your Personalised Mug you may choose to have the Child's Name and Birth Date only, |
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or you can add any of the other details listed below |
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Please fill in making sure that all details are correct as mistakes cannot be rectified |
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PLEASE USE BLOCK CAPITALS. |
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| Child's First Name | ........................................................................ |
(maximum 20 letters) |
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(Please tick) |
□Boy. □Girl. |
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| 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 |
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| 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 | |||||||
| ...................................................................................................................................................... | |||||||
| Have you checked that all spelling and details are correct? | |||||||
| The Price of your Personalised Bone China Mug is £25 plus £3.50 Postage & Packing | |||||||
| Total Price: £28.50 (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 | |||||||
| Top of Page |
Allow 10 days for Delivery |
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| Copyright © Scruffo Bear Designs 2008-2009. web design Janice Daughters. Page last updated 14/02/09 | |||||||