Headwear order form

FLEECE HEADWEAR ORDER FORM

Style(s) required

Indicate if male or female

*Cutom size

Colour Preferences

Price

Post and Packing:
UK Mainland and BFPO £ 0.50 per item
Europe £ 1.50 per item
Rest of the world £ 3.00 per item

TOTAL ORDER VALUE

* Custom Size - measure around the head, just above the ears. If the hat is
for a child, also specify the child's age please.

DESPATCH AND PAYMENT DETAILS

Name.............................................................................................................................
Delivery Address.............................................................................................................
.....................................................................................................................................
Country........................................................	Post/Zip Code..........................................
Telephone....................................................	Fax........................................................
Email...........................................................
Mobile..........................................................
Date order placed......../...../...../

Unfortunately, we aren’t able to offer ordering on line at the present time, but 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 the amount of £ ______________

Credit card details: MASTER CARD / VISA / DELTA

CARD HOLDER NO:

CARD EXPIRY DATE __/__/____

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

...........................................................................................................................

CARD HOLDERS SIGNATURE..................................................................................

Please complete 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: info@original-lizard.com

Style(s) required	Indicate if male or female	*Cutom size	Colour Preferences	Price




Post and Packing: UK Mainland and BFPO £ 0.50 per item Europe £ 1.50 per item Rest of the world £ 3.00 per item
TOTAL ORDER VALUE