| Order Form - General |
| Quantity | Description | Price Each $ | Total $. p. |
| Boxes | |||
| Postage & Packing Airmail at Your Risk or... | $10 | ||
| ...Delivery via Fedex - Fully Insured | $40 | ||
| Check enclosed payable to "Chard" | Total | ||
Please mail to:- (Use an address sticker if you wish.)
| Name |
| Street Address |
| City |
| State |
| Country - USA |
| Zipcode |
| E-mail address for advice of despatch |
| Any special instructions |
| Please mail with your cheque to: Chard, 521 Lytham Road, Blackpool, Lancashire, FY4 1RJ, England |