ORDER FORM
 
 
 
Total from work sheets
Cost
Blind No
 
Blind No
 
Blind No
 
Blind No
 

Overnight courier, packaging and insurance (per order)

  £20.00
TOTAL
£
Please keep the receipt for cost of fabric in case blind is lost or damaged for insurance purposes
 
 
DELIVERY ADDRESS
 
Address
 
 
 
 
 
Town
 
County
 
Postcode
 
Daytime Tel No (Inc STD code)
 
Evening Tel No (Inc STD code)
 
Mobile No
 
Email address
 
Please remember that blinds must be checked and signed for upon receipt
 
 
 
PAYMENT
 
Payment can be made by cheque or credit / debit card. Please make cheques payable to CALICO BLINDS
 
Please charge my Visa [   ] Mastercard [   ] Visa Electron [   ] Maestro [   ] Solo [   ]  
Card No _________________________________________________________________
Name on card _____________________________________________________________
Card Security No (last 3 numbers printed on the back of the card) _______ 
Issue No for Switch only ______
 
Expiry date __________________ Start date __________________
 
 
 
Cardholder Address
 
 
 
Town
 
County
 
Postcode
 
 
 
Please debit my account with the total value of my order including delivery charge.
 
 
 
Cardholder's Signature ___________________________________    Date ______________