ORDER FORM (Please complete clearly in BLOCK CAPITALS )

Return this order form to:
Scottish Gems
162 Morningside Road
Edinburgh
Scotland
United Kingdom
EH10 4PX

Customer Address                                                               Delivery Address  
                                                                                                            (if different)           
Name                                                                                             Name
Address                                                                                       Address

 

e-mail
Postcode                                                                                     Postcode
Phone No                                                                                   Phone No

Code number Description (if applicable include ring size) Silver/Gold Price (each) Quantity Total
           
           
           
           
           
           
           
           
  Total Goods  
P&P  
Grand Total  
                                                              
Methods of payment
Credit/Debit Cards please complete the following:
Diners  Visa    Mastercard JCB
Maestro Electron Visa Debit                              
Name on card:                                                                                              
Start Date:
Expiry Date:
Card No:
Issue No:
Security Code:
Cheques payable to: Scottish Gems

Postal and Packing rates within U.K only:
Order value under £50.00 - £3.00
Order Value £50.00-£300.00 - £5.00
Order Value over £300.00 - FREE
Orders under £50.00 Recorded Delivery
Orders over £50.00 Registered Post
All goods sent abroad are charged at exact international Recorded/Registered rate.