Order Form          

 

Please print and complete CLEARLY and in BLOCK CAPITALS

 

  

 

Ordered By

Name

Address

 

 

 

Post Code
Telephone email

 

Order

Code Description QTY Cost Each Total (£)
         
         
         
         
         
         
         
Sub Total  
Postage  
Total  

 

Please make cheques and PO's payable to: Holly Products

Credit Card Details

I wish to pay by                    (Please circle)

and authorise you to debit my account for the purchases on this form.

Signature

  
Name as on card  
Card No.                                
Valid From date          
Card Expiry Date  
Last 3 numbers on the top of the  signature strip  

We will normally despatch  your order within 7 days

Thank you for your order

 

Please send to our Mail Order address 

Holly Products, Primrose Cottage, Church Walk, Norton in Hales, Shropshire. TF9 4QX         Tel / Fax (01630) 655759