ORDER FORM FOR BRASS DOGS

Please print form and either post or fax with details, or just phone.

STRIKE OUT THE ITEM THAT YOU WISH TO ORDER
DOOR-KNOCKER WALL-PLAQUE CLOCK KEY-HOLDER BREED-SHIELD
DOOR-STOP CUSHTY-CUSHION CAR-MASCOT KEY-RING SPARE

No SERIAL NO. NAME AND TYPE OF DOG Qty Total
1 . £
2 . . £
3 .
£
4 . . £
5 . . £
6 . . £
7 . . £
8 . . £
9 . . £
10 . . £

Post and Packing UK and BFPO will be:

EACH ITEM £2.95 TO A MAXIMUM OF £10.00

WALL-PLAQUES ARE SUBJECT TO A CARRIAGE CHARGE OF £10.00.

OVERSEAS ORDERS WILL BE QUOTED PRIOR TO DESPATCH

Sub total £
Add Post and Packing £
Total £

PERSONAL DETAILS DELIVERY ADDRESS (If different)
Name: Name:
Address: Address:
. .
. .
Postcode: Postcode:
Country: Country:
Telephone: Telephone:
Email address: (to confirm order,queries etc)

PAYMENT DETAILS Invoice [ ] Cheque [ ] Postal Order [ ] IMO £ Sterling [ ] PAYMENT OPTIONS
Cheque No. Private customers must pay in advance by cheque, postal order or international money order (in £ Sterling) or with Eurocheque.
Credit accounts are available against approved references.Please make all cheques payable to

HALLWORTH ENTERPRISES (£ Sterling only)
Card No.
Signature:

Send your completed order form to:
HALLWORTH ENTERPRISES, 30 BROAD LANE NORTH, WILLENHALL, WEST MIDLANDS, WV12 5UA, ENGLAND.
Tel/Fax: 01922 492363 (24hrs) E-Mail john@dogsnbrass.co.uk

PRICE LIST EMAIL ENQUIRY FORM ORDER FORM

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