PENROSE CRYSTAL LIMITED EDITIONS
HISTORY IN THE MAKING FOR OVER TWO CENTURIES
ORDER FORM

Name:
Address:
Address:
Address:
ZIP / Postal Code:
Phone Number:
E-Mail:
Credit Card Type:
Card Number:
Expiry Date: -
Item(s) Required:
(Please include the
Code, Item and Price)
 
 
Total Amount Due:
   
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If you do not wish to e-mail your credit card details, leave that particular box blank, and we will contact you via telephone. Alternatively, you could print this form, and fax it to us. If you have any queries contact us via e-mail in the first instance. We will be delighted to assist you in any way.

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Send us your comments or queries to Penrose Crystal.
Penrose Crystal, 32a John Street, Waterford, Ireland. Tel/Fax: +353 51 876537
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