Printable Order Form

If you do not wish to use our on-line ordering facility we have provided an order form below which you are welcome to print out, complete and post it. Why not place your order via the telephone (01443 201410) we'd love to tell you more about the chairs.

We accept cheques (made payable to Francis Bay) and the following cards:

• Mastercard
• Visa
• Maestro

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Name:...............................................................................................................................

Delivery Address:..............................................................................................................

..................................................................................... Postcode:....................................

Invoice Address (if different to above and must be the card holder's address): ......................................................

..................................................................................... Postcode:....................................

Tel No:................................................. e-mail address:....................................................

Total Price of Goods Ordered (including delivery):................................

I enclose a cheque to the value of:..............................

Please debit my debit/credit card with the following amount:...............................

Type of Card: Mastercard Visa Maestro

Expiry Date:.......................... Maestro/Solo Issue No or Start Date:...................................

Card Name:................................................................. Card Security Code*:....................

Signature:...................................................... Date:....................................

*Card Security Code is the last 3 numbers on the signature strip on the card.

Where did you hear about us?..................................................................................................................................

We only use your personal details for processing your order. However we may offer other products in the future which may be of interest to you, please tick this box if you do not wish to receive further correspondence from us.

Mail to: Francis Bay, 14 Carmarthen Drive, Pontypridd CF38 1HY

Fax to: 01443 201410