| Print out the form, complete the details, and forward it with the correct payment enclosed to the address detailed below. Silentnight™ will forward your Hippo and Duck within 28 days of receiving your order. |
| Quantity | |
|
6 inch Beanie (15cm) at £5.99 each (inclusive of postage and packing) |
 |
|
10 inch Cuddly Toy (25cm) at £10.99 each (inclusive of postage and packing) |
|
|
20 inch Cuddly Toy (50cm) at £29.99 each (inclusive of postage and packing) |
|
|
Snoring Hippo (18cm) at £9.99 each (inclusive of postage and packing) |
|
| Total order value £____________ |
|
| Name | ________________________ |
| Address | ________________________ |
| ________________________ | |
| Town | ________________________ |
| County | ________________________ |
| Postcode | ________________________ |
| Telephone | ________________________ |
Payment method
| Cheque |
 |
Postal Order |
|
Credit/Debit Card |
|
||
|
(Mastercard, Visa, Delta, Switch, JCB) |
|||||||
| Name (exactly as on card) | ________________________ | |||||||||||||||
| Type of card (please tick) |
|
|||||||||||||||
| Issuing Bank | ________________________ | |||||||||||||||
| Card Number | ________________________ | |||||||||||||||
| Card Issue (Switch only) | ________________________ | |||||||||||||||
| Expiry Date | ________________________ | |||||||||||||||
| CCV Number | _____ | |||||||||||||||
|
Please allow 28 days for delivery DO NOT SEND CASH Post this form to Silentnight Beds Marketing Department PO Box 9 Barnoldswick Lancashire BB18 6BL |
||||||||||||||||