www.naturalpaints.org.uk

Natural Paints by Georgina Barrow

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Order Form for Georgina Barrow Natural Paints
Farmington Quarry, Northleach, Cheltenham, Gloucestershire GL54 3NZ.  
Tel: 01451 861040
Fax: 0870 1126815

How to use this form
Either fill in copy the form and paste it info your e-mail package
Or complete the form, print it out and fax / post it to us.

Contact/Delivery Details 

N.B. The carrier will require a signature on delivery of your order, please ensure there is someone to receive it.

Title:       Surname:     Initials: 

Delivery Address:
Line 1: 
Line 2: 
Line 3: 
Line 4: 
Post Code:  Country:

Daytime Phone Number:

Fax:
E-mail details:
Hand painted Colour Card £4.50 inc p&p UK Mainland or £6.00 Overseas 

Order Details                                                                                      All prices are in G. B. Pounds (Sterling)
Paint Code Number & Colour Description including size and type Qty. Total Price
Total Order Value

Post and Packing
UK Mainland Only. 

Sample Pots up to 3 £3.50
All Other Orders      £11.00 Upto 20 KG
P & P

Please note 5 litres = 8 KG Payment Total

Payment Details

Payment Method:   Cheque made payable to Georgina Barrow Natural Paints in G.B. Pounds
                        or  Visa           MasterCard           Switch           Delta        

Cardholder Name: Cardholder Signature: _______________________
Card Number:                
Start Date: /  

Expiry Date:

/   Switch Issue Number:

Cardholder Home Address if different from delivery address above.


Post Code: