Click this link to print this page	Order Form
	32, Roping Road, Yeovil, Somerset UK, BA21 4BD Tel : +44 (0)1935 413656 Email : info@denisebyrd.com www.denisebyrd.com Vat Registration Number : 667 2621 20

Customer Details

Your Name
Address
Email
Telephone		Wedding date
		Required delivery date

Shipping Address if different from above________________________________________________________________________

________________________________________________________________________________________________________


Your Requirements

Dress Name	Colour Selection	Sizes	Quantity	Price
Additional Instructions :			Sub Total
			Delivery
			Total Payment

Select Your Payment Method
a) I enclose a cheque GB £ payable to 'Denise Byrd'
or b) I enclose no payment and ask you to e-mail me a proforma invoice for the above items
or c) I authorize you to debit my account
Please charge my Visa/MasterCard/Maestro/Amex account
Card Number

Card Expiry Date ( mm / yyyy ) : ___________________Last three digits on the signature strip : _____

Issue No ( if applicable) : ___

Signature :____________________________________



Terms & Conditions

Payment in advance. We don't charge your credit card until the day we cut out your dress.
VAT tax is not applicable for delivery outside the European Union
Carriage can vary depending upon the destination, weight and volumetric weight. For ordering purposes assume
£10 for UK, £17 European and £32 USA delivery charges.
Your details remain privacy and will not be passed on to any third party

Click this link to print this page

Then please post to the above address or fax the filled out form to +44 (0)1935 413656
We will contact you to confirm the order and delivery date within one working day on receipt of this form

Thank you very much for your order

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Denise Byrd Bridalwear : www.DeniseByrd.com © Copyright 1996-2010