To print out the Order Form below simply select File and Print. Then fill in the form and send to the address given. Return to How to Order page. Please note. Any contact details supplied will ONLY be used for order correspondence.
Richard Stacey
THE WORKSHOP, EASTHAMPNETT LANE, CHICHESTER, SUSSEX, PO18 0JY.
E. MAIL:-bricks@richardstacey.com - TEL:01243 533132 - FAX: 01243 538204
CUSTOMERS NAME & ADDRESS
NAME.........................................................EMAIL..........................................................................
ADDRESS........................................................................................................................................
..........................................................................................................................................................
POST CODE..............................................TEL NO........................................................................
PRODUCT CODE No DESCRIPTION PK SIZE QTY REQ'D SCALE UNIT PRICE TOTAL
£
£
£
£
£
£
£
£
£
£
£
POSTAGE & PACKING - UK
ORDERS UP TO £50 - £2.99 ORDERS £50 TO £200 - £3.99 ORDERS OVER £200 - FREE
REST OF THE WORLD ALL ORDERS PRICES ON REQUEST
PLEASE MAKE CHEQUE/POSTAL ORDERS PAYABLE TO RICHARD STACEY.
IF ITEMS ARE NOT IN STOCK, PLEASE ALLOW 28 DAYS FOR DELIVERY.
SUB TOTAL
P & P
CREDIT/DEBIT CARD DETAILS TOTAL DUE
CARD No.
OFFICIAL USE
DATE REC'D
VALID FROM: _____/_____ EXPIRY DATE: _____/_____ ISSUE NO: ____
CARD SECURITY CODE: ___ ___ ___ 3 digit no. printed on the signature strip of the card
NAME OF CARDHOLDER:_______________________________________
CARDHOLDERS ADDRESS:______________________________________
____________________________________________________________
__________________________________ POST CODE:________________
TEL NO.________________________ SIGNATURE.............................................
PAYMENT METHOD
CREDIT/DEBIT CARD
CHEQUE
POSTAL ORDERS
VisaElectronEuroMastercardJCBMaestroSoloDeltaAmerican Express