FLEECE HEADGEAR + ACCESSORIES
ORDER FORM

We can’t offer on-line ordering at the moment, but we can take details
via telephone/fax and post, so if you want to order then here’s a form
for you to print out and use ……

STYLE(S)
REQUIRED

Custom Size
(if applicable)

For male or female
(give age if under 10)

COLOUR
PREFERENCES

PRICE

         
         
         
         
         
         
         
         

Post & Packing Costs

 

Total Order Value

£

DESPATCH AND PAYMENT DETAILS

NAME ………………………………………………………………………………….

DELIVERY ADDRESS …………………………………………………………….…

…………………………………………………………………………………………..

COUNTRY ……………………………… POST/ZIP CODE ………………………

TELEPHONE …………………………... FAX ……………………….……………..

E-MAIL …………………………………………………………………………………

DATE ORDER PLACED …………………………………………………………….

You can pay by the following methods:-

  1. UK residents – cheque (Sterling), banker’s draft, Master Card, Visa Card, Delta Card (sorry, we don’t take Switch!)
  2. All other countries – Master Card, Visa Card, Delta Card

I enclose a Cheque for the full order value of £ ________

Made payable to ORIGINAL LIZARD


Or:

Please debit my credit card to the amount of £____________

Credit Card Details: MASTER CARD / VISA / DELTA

CARD HOLDER NO.

                               


CARD EXPIRY DATE: /


CARD HOLDER NAME AND INITIALS, AS SHOWN ON THE CARD:-
…………………………………………………………………………………………..

CARD HOLDER’S ADDRESS AND POST/ZIP CODE (if different from the delivery address above)
…………………………………………………………………………………………..

…………………………………………………………………………………………..

CARD HOLDER’S SIGNATURE ……………………………………………………

 

PLEASE COMPLETE ALL THE ABOVE AND RETURN TO US BY ONE OF THE FOLLOWING METHODS:

POST:

ORIGINAL LIZARD
11 HUMBERDALE DRIVE
NORTH FERRIBY
EAST YORKSHIRE
ENGLAND
HU14 3LB

TELE/FAX: +44 (0) 1482 635483
E-MAIL: chappy@original-lizard.com