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ORDER FORM
Please print this form and send with cheque to address below.

Please Phone or e-mail For Trade/GroupOrders

Title: : Initials: : Surname: :
Address Line 1: :
Address Line 2: :
Post Code: :
Telephone Number: :
E-mail Address: :

Code Colour Quantity Postage & Packaging Price
: : : : :
: : : : :
: : : : :
: : : : :
: : : : :
: : : : :
: : : : :
Total Goods  : P & P (Max £20)  : TOTAL  :

Please print this form and send with cheque to address below.

Please make cheque payable to Alpha Cushions,
write your name, address and cheque guarantee number on the back and post to:
Alpha Cushions, Unit 3,
Waterside Mill, Chewvalley Road, Greenfield, Oldham, OL3 7NH
Telephone: 01457 870515