Order Form  (please complete and post to the address below)

Chris Slade, House of Smocking, 1 Ryeworth Road, Charlton Kings, Cheltenham, Glos. GL52 6LG

    e:  chris@smocking.co.uk   t: (UK)01242 245204   www.smocking.co.uk

Name:              _____________________________________________________________

Address:          _____________________________________________________________

                        _____________________________________________________________

                        ______________________________Postcode:_______________________

Telephone:      __________    ____________   Date:  ____________

email:    _____________________                  tick here   to receive email updates 

Charges for p&p shown are for within the UK only.  Please allow extra elsewhere.  

Cheque/Postal Order enclosed  (made payable to C. Slade)  - delete as applicable

or Credit/Debit Card (for  minimum of £5.00) :

Card No. __ __ __ __    __ __ __ __    __ __ __ __    __ __ __ __  

Expiry date:  __   /  __      Security Code  (last 3 digits on back of card)   __  __  __

Start date (if applicable):  __ /  __    Issue number (if applicable):  __  / __

Signature: ___________________________________

© House of Smocking