Claire Royle Applique: Order Form

YOUR DETAILS: REQUIRED
Name
Address
Post Code
Tel Number
E-mail
DELIVERY DETAILS (IF DIFFERENT TO ABOVE)
Name
Address
Post Code
Tel Number

YOUR ORDER: REQUIRED
Product

Size (If applicable)


APPLIQUE DETAILS (Please tick appropriate boxes)
Name on garment
UPPER CASE Title Case lowercase
GINGHAM DETAILS For large checks, please tick one box.
Blue	Large check
Pink	Large check
Red	Large check
	None
For small checks, please tick one box.
Blue	Small check
Pink	Small check
Red	Small check
	None
VINTAGE STYLE
Pink Paisley
Blue Paisley
Red & Blue Flower
	None
POLKA DOTS
Pink
Blue
	None

NOTES If you have any special requirements please do not hesitate to contact me and between us we will endeavour to fulfil your needs. Please contact me for pricing details if you wish to purchase a garment without applique. If any of our goods are being delivered to someone as a gift and you would like me to enclose a card, please leave message details here.

Claire Royle Appliqué