ORDER FORM

For ease of use, I have reverted to a printable form you can print out and fax through to me on +44 (0)20 7793 8339
or phone your order through on +44 (0)20 7582 8213.
Alternatively, post your completed order form to: Leon Conrad Designs, 20 Courtenay Street, London SE11 5PQ, UK.
For your security, I am not authorised to accept credit card orders via email.

Name ____________________________________________________________________________________

Billing Address _________________________________________________________________________

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Email Address ___________________________________________________________________________

Order Details: (Please list the product reference codes and/or titles):

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See Price List for postage and packing terms.
Clients based in the USA and Canada are encouraged to make their Local Needlework Store their first port of call to purchase designs.
Consult the list on my info page, or the following distributor for the address(es) of your nearest stockist(s):

Address to send charts to if different from above:

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How would you like to pay? (Please circle your choice)

- - - By cheque made payable to Leon Conrad Designs

- - - By Credit Card (Visa, Mastercard)

- - - By Debit Card (Visa Delta)

Card Number ___________________ Valid From ____ Expiry Date ____ Issue Number ___

Name as on card ____________________________ Signature_____________________________________

Telephone Number (required for all orders placed by credit card) __________________________

The amount charged will be in GB Pounds Sterling. If ordering in dollars, there may be a slight difference in the amount eventually charged to your card due to the difference in exchange rates between the date the transaction is put through and the date it reaches your card.

Comments/Special Instructions:

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