order form

Order Form

Please fill in as necessary:

YOUR DETAILS

*First Name*
*Last Name*
*E-mail*
*Telephone Number*

	DELIVERY ADDRESS
*Street address*
*Address (cont.)*
*City*
*County/State*
*Post code*
*Country*

	INVOICE ADDRESS (If different from delivery address.)
*Street address*
*Address (cont.)*
*City*
*County/State*
*Post code*
*Country*

ORDERING

Please indicate which type of fibre you want, what size of bag and how many.


*PCP 20 3kg bags*	*Number of bags*
*PCP 20 12kg bags*	*Number of bags*
*PCP 30 3kg bags*	*Number of bags*
*PCP 30 12kg bags*	*Number of bags*
*PCP premix2kg bags*	*Number of bags*

BILLING

Please provide the following ordering information:

*Purchase order #*
Account name
Accounts telephone No

COMMENTS

If you would like to add your URL, or that of a site that you think would be of interest, or simply want to say hello, just fill in the form here.

If you are ordering for a College or School a Purchase Order Number will suffice otherwise please send a cheque for the amount with your name on the reverse. The order will be sent by 72hr Delivery Service and an invoice will be attached. This is a customer service to speed up delivery please do not abuse the system.

Copyright Paper Clay Products.