Shop 4 silver jewellery
PRINTABLE FORM
You can either order electronically through our online catalogue, or by printing this form and order using one of the following methods.

1.   By 01205 724 103 (Hours: Mon - Fri 9:00am to 6:30pm)
Print and complete the order form below (this will save time when placing your order and it also provides you with a written record). Remember to have your credit card details ready when calling.

2.  By POST
Please send your completed order form with your cheque, postal order or credit card details to:
Shop 4 Silver, Cherry Tree Cottage, Bannisters Lane, Frampton West, Boston, Lincs. PE20 1RD.
Please make all cheques and money orders crossed and payable to "Pure Dash Group"
HOME ADDRESS (please print clearly)
Name
Address
 
 
Postcode
Email:
Telephone no. (in case of queries)
DELIVERY ADDRESS (if different or gift delivery address)
Name
Address
 
 
Postcode
Email:
Telephone no. (in case of queries)

ORDER DETAILS: (BLOCK CAPITALS PLEASE)
Item Code Description
Ring Size 
 Price Each
£            p
Qty
 Sub Total
£            p
eg. B2018 Clear CSV Double Cross Bracelet
(example)		   £ 19.00
1
 £19.00
             

 

   £   £
                  £   £
                  £   £
                  £   £
                  £   £
  Discount Voucher #     £
  Total goods £
*Note: This form is for UK delivery and small orders only.
Overseas customers and wholesale orders please contact us for postage & packing charge
P&P* £
Grand Total £

Comments about your order:
 
PAYMENT  
Payment Method:   boxSwitch     Solo     MasterCard     Visa     VisaDelta
Number  
Date Card Expires  Card Valid From     Issue no (Switch/Maestro).   Last 3 digitsspacer
Card holder's signature:
 
(Please cross cheques and money orders and make payable to "Pure Dash Group")