O R D E R
F O R M
Your Name Address
Office 5, Primet Business Centre, Burnley Road, Colne, Lancashire BB8 8DQ Tel: 01282 859281 or 07970 952490 email: info@croftmill.co.uk www.croftmill.co.uk
REF No.
QTY.
Town
County
Postcode
Date
Daytime Tel No. Email: Your email is used for payment and courier confirmation where necessary. If you would like to hear about what is happening at Croft Mill, new products and offers then please tick this box.
DESCRIPTION OR REFERENCE
UNIT PRICE
£
OFFICIAL USE ONLY
p
Date received
CHQ
PO
C
New Customer
Yes
No
Email Newsletter
Yes
No
Postal Catalogue
Yes
No
Invoice issued Amount £
:
No.
Amount £
:
RM
Other
No. Cheque issued
PF Despatch Date:
Special requests, samples, etc.
Should any item you require be out of stock or unavailable, should we: (please tick) Send alternative cloth of similar nature? Or refund amount due? METHODS OF PAYMENT Most cards accepted including: S W I TC H
CHQ/PO payable to CROFT MILL UK LTD TOTAL COST OF GOODS ADD POST & PACK
£5 95
TOTAL COST
Valid From
Expiry Date
P & P is £5.95 to the UK Mainland only. This excludes the Scottish Highlands and Islands, Isle of Man, Isles of Scilly, and Northern Island. A full list of weights and our P & P charges for these destinations and others is available at www.croftmill.co.uk or alternatively please phone us and we will be happy to advise you of the cost. Depending on the weight it could the same as the standard charge.
Issue No.
Security Number
Card Holder's signature....................................................................................... Telephone orders may be placed using the above Debit/Credit cards.
Office 5, Primet Business Centre, Burnley Rd, Colne, Lanc's BB8 8DQ
We have incorporated the address label in the order form - please help us to speed up the despatch of your order by filing in your full name and postal address alongside - this will be used when sending your parcel.