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Thérèse Theodas Sculpture PRINT
AND FAX ORDER FORM FAX 01404 871300 Alternatively, telephone your order to us on 01404 871291 or
Post to: Thérèse Theodas, Farway House, Farway, Nr Colyton,
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We will send you an email or telephone you to confirm your order which will normally be despatched within 1– 2 weeks. Title__________Initial(s)_________Surname_______________________________ Address_____________________________________________________________
Post/Zip Code______________________________Country____________________ Telephone Number (incl country & area code)_______________________________ Email address________________________________________________________ Sculpture Name______________________________________________________ (Finish) Please circle. ......Hot Cast.....Bronze Resin Price £__________________ plus Postage & Packing* £___________________ Total Amount Due £__________________ |
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above prices are a guide and maybe subject to slight variations. We will
advise you if this is the case.
PAYMENT DETAILS If paying by credit card, the address given above must be the address to which your credit card is registered. (An alternative delivery address can be specified below) Please circle your chosen payment method Ienclose
a cheque made payable to Thérèse Theodas,,,,,,,,,,,,,,,,,,,,,,,,,,Please
debit my credit Card
Type (Mastercard, Visa, Switch etc)__________________________________
Start date______/_____Expiry date ____/____ Issue No (Switch only)___________ Name on card________________________________________________________
Signature___________________________________________________________ DELIVERY ADDRESS DETAILS (if different from above)
Country_____________________________________________________________ Where did you hear about us?___________________________________________
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