Countryman John - Easy Order Form

Please print off this form and post or fax to:
Countryman John, The Rural Workshops, Lake Road, Coniston, Cumbria, LA21 8EW
Tel: 015394 41129. Fax: 015394 41973. E-mail: office@countrymanjohn.co.uk

ROLLER BLINDS * Sidewinder will always be fitted on right unless otherwise specified.

Design – including page number in the brochure with description.	Width	Height	Fabric Code	Sidewinder (add £6 if yes)	Price
Example: Page 2, Kingfisher with ducks, otters and appropriate tree backgrounds.	54”	36”	B	£6.00	£169.00



				Plus P&P	£8.50/£13.50*

TOTAL £

OTHER ITEMS – Coordinates

Item – including description of design.	Quantity	Price
Example: 15” Cushion cover with Tawny Owl on one side and Otters on the other side.	1	£20.00



	Plus P&P	£4.95

TOTAL £

PLEASE NOTE:

1. Accurate measuring is important. Please follow the measuring instructions carefully before ordering.
2. Since all items are individually printed and made to order, many of the designs can be intermixed to you requirements. If necessary, use the back of this form to explain the ‘mix’ you like. (You can also include sketches if you are artistically inclined!)
3. Blinds are made to fit the measurements you send us. If those measurements prove incorrect we cannot guarantee to refund money or replace blinds. But we will try to help if we can, so please enquire.
4. Fabric shades may vary slightly,

* See Price List for postal charges.

FORM OF PAYMENT

Cheque – payable to Countryman John.

Debit /credit card

Switch

Visa

Master Card

Card Number Switch Only

Expiry Date:

CVC*:

Switch Issue No:

Switch Start Date:

*CVC - the last three digits of the security number on reverse of card

Signature:

I enclose cheque for £………………………………….
Please make cheques payable to ‘Countryman John’

Personal Collection: If collecting blinds in person, please specify date (allowing 3 weeks) & phone the day before you collect DATE……………………

Name:

Address:

Postcode:

Daytime Phone Number:

Please could you let us know where you saw our advert.
………………………………………………………….
How did you find this web-site address?
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