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 ______________