Ordering

To place an order simply complete this form, print it and send it to:
Escargot Designs, Butterwood Cottage, Bartley Heath, Hook, Hampshire RG27 9AB

or if you prefer telephone us on 01256 768127 and we will personally deal with your order.

NOTE We require a 50% deposit with order and balance either on or before delivery.

Order Details
Item Description:

Example (Portland Dining Table and 6 Chairs)
Quantity:Order Value £: + Delivery charge £25.00
Height: Width: Length:

Metal Colour:
Fabric Ref No: (if known)
Other Notes:

Delivery Details

Mr Mrs Miss Ms

First Name

Surname

Address

Town/City

County

Country

Post Code

E-mail Address

Daytime Phone No.

Evening Phone No.

Payment Details

I enclose my cheque/postal order for £ payable to Escargot Designs

or

I wish to pay by credit card, please debit my account £

Card Holders Details
Visa/Delta
Access/Mastercard
Card No. - - -

Expiry Date /

Card Holders Name (as appears on the card)

Address

Town/City

County

Country

Post Code

Signed