THE BRONZE COLLECTION

 

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Last Update : 08 May 2011

 

S E C U R E   O R D E R   F O R M

 

STEP 1 : ORDER DETAILS

Please state what you would like to order below

One item per line, please
For examples :
1 x Small Pair of Mice, long ears, verdigris
1 x Indian Runner Small, small, verdigris
1 x Hare, brown

 

STEP 2 : PAYMENT

  Debit Card :   ELECTRON MAESTRO VISA DEBIT SWITCH
  Credit card :
VISA MASTERCARD
  Card Number :         
  Expiry Date (mm/yy) e.g. 02/13 :         
  Security No (3 digits at back of card) :         
  Issue No (if present) :

STEP 3 : BILLING ADDRESS

  Holder Name on card :  
  Post code

  Country :
 
  The rest of address :
                                      
  Telephone :   Fax :
  Email : 
 

STEP 4 : DELIVERY ADDRESS (if different from above)

  Post Code :
  Country :

  The rest of address :
               
  Telephone :   Fax :
  Email :

Finally, please tell us how you know about us :   
If "Others" is selected, please specify :    Thank you for your order

  

Andrew Crace, The Bronze Collection, Bourne Lane, Much Hadham, Hertfordshire SG10 6ER, England
Tel 01279 842685  Fax 01279 843646   2000- 2006 Andrew Crace