Dorothys Foundry
ORDER FORM DATE OF ORDER:____________________
NAME:__________________________________________________________ (BLOCK CAPITALS)

ADDRESS:_______________________________________________________

________________________________________________________________

TEL:_____________________ FAX:_____________________

E-MAIL:____________________________________________

SHAPE (Please tick shape required)

8" x 6"	8" x 6"	11½" x 9"	11½" x 9"	11½" x 16"	10½" Round
18" x 8" Bridge	11½" x 9" with Rope	16" x 11½" with Rope	13½" x 3 Oblong	18½ x 3" Oblong

MOTIF:______________________________________________
HOUSE NAME OR NUMBER:_________________________________________
BACKGROUND COLOUR (Colours may differ in shade)

SKETCH DESIGN OF SIGN

All Prices are inclusive of VAT & Carriage for UK Mainland only. PLEASE ENCLOSE CHEQUE WITH ORDER MADE PAYABLE TO:- DOROTHYS FOUNDRY UNIT 2, GREENHAM BUSINESS PARK WELLINGTON, SOMERSET TA21 0LR (ENGLAND)

E-mail: dorothysfoundry@hotmail.co.uk Tel: 0044 (0) 1823 672640 Fax: 0044 (0) 1823 673338

We also accept payment from the following cards:

B A C K