ORDER FORM
PLEASE MAIL TO:    SCENTS AND SCENTSIBILITY,
Pomathorn Mill, Penicuik, Midlothian, EH26 8PJ.

Please list the following:
BRAND(MAKER)  |  - DESCRIPTION   | - SIZE   | - PRICE  | HOW MANY? |–TOTAL PRICE
                                (SUCH AS 100ml)
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PLUS POSTAGE, PACKING AND INSURANCE        ..... Great Britain: £5.00 
(please circle one)  ..... Eire & Europe (Single item rate):    £8.00
                      ...... Eire & Europe (multiple Items):   £15.00
                    .... Rest of the World (Single item rate): £10.00
                      .... Rest of the World (multiple Items): £20.00
(PLEASE READ OUR NOTICE ABOUT POSTAL COSTS ON OUR ORDERING PAGE)

TOTAL AMOUNT OF ORDER         £__________________


HOW DO YOU WANT TO PAY?

CHEQUE ENCLOSED ______ (please tick) 
(Please make cheques payable to Boxes and Bubbles Ltd)

Visa, Master Card, AMEX, UK Maestro, Solo, Visa debit/Visa credit & Visa Electron
(please circle one)
CARD NO. _______________________________________________________________

START DATE ON CARD _____/_______    END DATE ON CARD  _____/_______

PLEASE ADD THREE FIGURE SECURITY NUMBER     _______
(Normally the last three numbers by your signature on the reverse of the card)

FOR MAESTRO CARDS, PLEASE ADD THE ISSUE NUMBER ___________


YOUR NAME  ______________________________________________________________
(exactly as it appears on your card, please)



YOUR ADDRESS (please print)_____________________________________________________


________________________________________________________________________________


YOUR POST CODE ________________________  

YOUR TEL. NO:__________________________

E-MAIL ADDRESS _______________________________

(Please note that if a personal cheque is sent to us for payment we reserve the
right to wait for the cheque to clear before mailing the order)