Please enter order information here.
Customer Name
House No Street
Town / City
County Post Code
Contact Phone E-mail
Design Ref No(s) Eg MM02 Total of Items 1 2 3 4 5 6 7 8 9 10
Chart Format Full Colour Blocks Black & White Symbols Colour Symbols Black Symbols on Colour Blocks Select. Anchor Or DMC
Chart Size 4 5 6 7 8 10 12 14 16 18 20 No. of sq. per in..(A 50p charge is made for larger charts eg 4.*)
Total payable. PO or Cheque
Just Imagine Cross Stitch
17, Hadlow Road, Sidcup.
Kent DA14 4AA
This form can be printed off and sent with payment to:-
Please select method of payment - payable to Just Imagine Cross Stitch (p&p is included but please don't forget to add on any extras*.) NB - NO credit card payments can be accepted yet and cash should not be sent through the post.