ABRACADABRA TEDDY BEARS LTD

8A CROSS STREET, SAFFRON WALDEN, ESSEX CB10 1EX

TEL/FAX +44 (0)1799 527222.

SECURE ORDER & PAYMENT FORM

Please use this form to send us your payment and postal details

The contents of this form are 128-bit encrypted before being sent to us and the details cannot be read by anyone but us.  This information will not be stored & will be used for this purchase only. 

Please enter your Billing details

Title
Name
Street Address
Address (cont.)
Town/City
State/Province
Zip/Postal Code
Country
Phone
E-mail

Mailing address (if different)

Street Address
Address (cont.)
Town/City
State/Province
Zip/Postal Code
Country

Please tell us the name of the bear or item and artist/manufacturer you are interested in purchasing

Name/artist or manufacturer

Please check the box and tell us how you would like to pay

Credit/Debit card

Personal cheque (UK only)

International Money Order in pounds sterling

Direct bank transfer in pounds sterling (we will e-mail you our bank details by return).

If you would like to take advantage of our interest free layaway option, please check the appropriate box:

Please enter your credit/debit card details



Credit/Debit card number

Card security code (the last 3 digits on the signature strip) (last 4 digits for amex)

Issue number (Maestro cards only)  

Valid from -- mm/yy

Expiry date -- mm/yy

Please use the following box to enter any details not covered above. For example, you can add a message to be included in the parcel if you are sending a gift to someone.

Comments



Copyright © 2003 [Marsha Davison/Abracadabra Teddy Bears Limited]. All rights reserved.