TRADITIONAL ELEGANCE TILES
 ORDER FORM

ITEM

PRODUCT
CODE 

 PRICE QTY TOTAL

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PLEASE MAKE CHEQUES
PAYABLE TO
ANN MARIE MINIATURES

TOTAL COST

 .

POSTAGE

 .

TOTAL AMOUNT DUE

 .
NAME

VISA / MASTERCARD DETAILS
ADDRESS CARD No
. EXPIRY DATE
. NAME & ADDRESS OF CARD HOLDER
. .
. .
POSTCODE .
EMAIL

ANN MARIE MINIATURES.  2 BLUEBELL CLOSE. HEDNESFORD.  STAFFS. WS12.4AG
TELEPHONE AND FAX  01543 423923
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