Information Request/Order Form

Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: graham@chenies.freeserve.co.uk.

This form is designed for you to request more information on any of our products, or can be used to order any of our products, as we are new to the web mayby you would also like to give us any feedback on this site. When you click on the "Submit Form" button at the bottom of the form it will be e-mailed directly to us, however if you would prefer you may print out this form and fax it to us or post it to us at either of our shops. Thank you for taking the time to fill in this form, we will respond promptly with any information or help by e-mail unless you state otherwise.

Request_Information
Order_Products
Multiple items may be chosen.

First Name:     

Last Name:      

House No/Name:  

Road Name:      

Town:           

City:           

County:         

Post Code:      

Tel No:         

Fax No:         

E-Mail:         

URL:            

Comments:

Return To Our Home Page


WebForms™ 2.7a Unregistered - ©1995,96,97 Q&D Software Development
http://www.q-d.com/