Order
Form
Send completed form with payment to:-
Simply Perfect Limited, 19 Park Way, East Molesey, Surrey, KT8 1PE, England,
U.K.
PLEASE USE BLOCK CAPITALS
Quantity
Dress
/ Shoe / Tights Size
Dress
Name / Accessory Code Number
Price
£ / €
+ Party Ware Total
Postage &
Packing
for Eire and Europe
for UK, Northern Ireland and Channel Islands
+
€16 for orders €70 or over
+ £8 for orders £45 or over
+
€12 for orders €38 - €70
+
£6 for orders £25 - £45
+
€9 for orders up to €38
+
£4 for orders up to £25
total
Date
of child's First Communion
Ordered
by:
Delivery
address:
(if different from "Ordered by")
name
address
postcode
Tel
No
e-mail
name
address
postcode
Tel
No
e-mail
Payment
by cheque
or
Postal Order
(please tick as applicable)
If payment is by cheque,
please give details of your cheque guarantee card as follows:
