Eternal Flame Candles
Unit 3b Langhaugh Industrial Estate
Currie Road

Galashiels, Selkirkshire, TD1 2AJ

Tel: 07762 470 818
www.eternalflamecandles.co.uk

Order Form
Name :  
Address : Delivery Address (If Different) :
Postcode : Postcode :
Tel No : Mobile No :

Candle Type
Scent
Colour
Quantity
Price each
Total Price
1
.
.
.
£
£
2
.
.
.
£
£
3
.
.
.
£
£
4
.
.
.
£
£
5
.
.
.
£
£
6
.
.
.
£
£
7
.
.
.
£
£
P&P
£5.50
TOTAL
£
Message for personalised candles :
(If picture is required please send with this order form)
 
Payment Method
(please tick)
Cheque
Credit Card
Credit Card Number :
 
Last 3 digits on back of card:
 
Expiry Date :
 
Issue Number (If Shown):
 
Card Holders Name & Address :
 
Please Make all cheques payable to : Eternal Flame Candles
Thank you for shopping with Eternal Flame Candles
Hope to see you again soon.