Made in Scotland

Full Midge Monty Customer Order

 Quality Scottish herbal products
(* denotes mandatory field)
Item     colour each * Quantity
Full Midge Monty   with Black Net     £ 19.95    
Full Midge Monty   with White Net     £ 19.95    
Full Midge Monty   with Green Net     £ 19.95    
Full Midge Monty   with Blue Net     £ 19.95    
Full Midge Monty   with Stone Net     £ 19.95    
Full Midge Monty   with Pink Net     £ 19.95    
UK 1st class post or small packet £3.95 per order.
Worldwide airmail also £3.95 (3.95 GBP).
Prices are in GB Pounds (GBP).
Delivery details
Name: *
Addr 1: *
Addr 2:
Town: *
Put "no" if your country has no postcode. Country default is UK.
Postcode: *  Country:
Phone: *  Fax:
Email: *
 Privacy : we only use your details to process your order
Valid email address helps if we have questions about the order
 Major Credit and Debit cards accepted:
 Amex, Delta, JCB, Maestro, Mastercard, MC Debit,
 Visa, Visa Debit, Visa Electron, UnionPay, Discover, Diners.
Card details (your card is not debited until order ready for dispatch)
Name on card: *
Card Number: *    Card Type:*
Expiry mm/yy:   * /    3 digit (Amex 4) security code:*
Any message for us (optional - maximum 6 lines)
Please check your details carefully, then read our  Terms and Conditions 
which include your right to cancel under UK Distance Selling Regulations.
If you prefer you can print this form and fax or mail with Payment to
Elmbronze Ltd, Unit 5 Keppenburn Workshops, Fairlie, KA29 0AS, Scotland, UK
Fax: 0141-2800-365 .  Give us a ring,
 why don't you? . (Sales: +44-1475-689274)
 our current default Email Address is:
 orders at (at sign)

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