Pattern Order Form

Pattern Order

SECURE ORDER FORM

You will receive an e-mail confirming your order within 3 business days
If you have not heard from me within

14 days I would suggest you telephone to check the situation

Please fill out this form and click the "Place Order Button " at the end of the form
to order either of these attractive items

** Denotes a compulsory field

Name:	**
House Name/No.	**
Road	**
Town:	**
County - UK Only:
Country - If Not UK:
Postal Code - Insert 'O' for non UK:	**
Phone No:	**
E-mail Address:	**

All prices include postage to a UK address

1, Cut Away Cat
£8.15

3. Celtic Cushion
£8.15

4. Autumn
£8.15

5. Celtic Circles
£8.15

6. Celtic Crowns
£8.15

7. Celtic Miniatures
£8.15

8. Citrus Circles
£8.15

9. Golden Butterflies
£8.15

10. Grandeur
£8.15

11. Jewel Boxes
£8.15

12. Mini Roundabouts
£8.15

13. Oriental Inspiration
£8.15

14. Pink Parfait
£8.15

15. Pot of Gold
£8.15

16. Roundabouts
£8.15

17. Zig Zag Charm Quilt
£8.15

18. Diagonals
£8.15

19. Floaters
£8.15

20. Planets
£8.15

Please enter your Debit/Credit Card Number with spaces the way it appears on
your card and quote the
name on the card in the " Special Instructions " box.

** Please select one of the following
MasterCard Visa

The number you require is the long one across the middle of the card -
please break this down into blocks of 4 digits

1st Block of 4: ** 2nd Block ** 3rd Block ** 4th Block **

Expiry Date: ** Last 3 numbers on Signature Strip (Security Number) **

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