Rectangular Wooden Frame Order Form

Name: Please Note: In order to print this form most effectively - Go to File dropdown and click on Print. Select Landscape format from Properties before printing.
Address:
   
Date: Phone No:

Quantity External Dimensions
 Moulding
No. 		Mount
Colour 		Aperture
Shape 		Aperture Dimensions
 Price
Each 		Total Price
               
Credit/Switch Card Number Expiry Date Issue No. (Switch)
     

Final Total		  

Please nominate your preference for hanging arrangements. Please delete 3 of the options below

Screw Eyes and Nylon Cord Triangular Hanger Slip-over Tooth Hanger Flush Hanger

* Please note that if you are paying by card or PayPal, the actual postage paid will be debited

If you are paying by credit/debit card please indicate your card number and give the expiry date and the 3 figure security number from the reverse of the card.
If you are paying by Switch or Maestro please also supply the issue number and starting date

Please include payment with your order and post to:

Polymers Plus
PO Box 101
Christchurch
Dorset. BH23 7ES