Roman Blind own fabric | Calico Blinds

ORDER FORM

TOTAL WORKSHEET

Blind No 1:
Blind No 2:
Blind No 3:
Blind No 4:

TOTAL:
Overnight courier, packaging and insurance (per order):	£25.00
TOTAL:

Please keep the receipt for the cost of the fabric in case the blind is lost or damaged for insurance purposes

DELIVERY ADDRESS

Address

Town

County

Postcode

Daytime Tel No (inc STD code):

Evening Tel No:

Mobile No:

Email address:

Please remember that blinds must be checked and signed for upon receipt.

Payment can be made by cheque, credit or debit card. Please make cheques payable to Calico Blinds.

CARD DETAILS

Please charge my Visa ( ) Mastercard ( ) Visa Electron ( ) Maestro/Solo ( )

Card No:

Name on Card:

Card security No (last 3 digits on the back of card):

Issue No (switch only):

Expiry date:

Start date:

CARDHOLDER ADDRESS (if different from above)

Address

Town

County

Postcode

Please debit my account with the total value of my order including the delivery charge.

CARDHOLDER SIGNATURE

Date:

Where did you hear about Calico Blinds?