Order Form

To enable us to accommodate your requirements in the best possible way, we are offering an electronic enquiry form. Please fill out parts A, B & C of the form below.
When complete, click on [Send]. If you wish to start over, click on [Reset Button]

Part A - Name & Address :

Your Full Name :
Address Line 1 :
Address Line 2 :
Town or City :
Region or State :
Zip or Post Code :
Country :
E-mail Address :

Part B - Delivery Details :

As Above Address As The Following Address
Recipients Name :
Address Line 1 :
Address Line 2 :
Town or City :
Region or State :
Zip or Post Code :
Country :

Part C - Your Requirements :
(Use this section for Standard Sizes Only)

Design Size Length Color Qty. Price ($) Total($)

(Use this section for Made to Measure Garments Only)
If ordering more than one 'made to measure' garment, please submit sizes on a second order form entering your name only and sizes for your second garment.


Design : Quantity :
Price each : Total Price :
a) Chest : b) Waist :
c) Hips : d) Shoulder :
e) Length : f) Under arm:
g) Neck : h) Upper Arm :
j) Wrist :

Part D : Postage & Packing

Postage & packing is free on orders of 2 garments or more, otherwise please add $16.20
to cover surface mail and insurance. Courier service available on request
for urgent orders or special events.

Part E : Payment Details

If you do not feel comfortable sending your credit card details on this form, we will understand.
You may send this form with parts A, B and C completed and send your credit card details by fax or post.
Our Fax Number is [44] (0) 1506 438592 or Our Postal Address is shown below.
Alternatively you can send a cheque, postal or money order. Please make cheques payable to
"RGMalls - Scotland"

I note below my Credit Card Details I am sending my Credit Card details by Fax or Post I am sending a Cheque, Postal or Money Order by Post
Visa
Mastercard 		Fax
Post 		Cheque
Postal Order /Money Order

Card Details (if applicable)

Name on Card :
Card Number :
Expiry Date :

Please Submit Form Now to Order your Garments

 

 


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These Pages and their Design are Copyright of :
RGMalls
1a Duncan Green
Livingston
By Edinburgh
SCOTLAND
EH54 8PR

Last Revised : 10th October 1997