Galerie BissellOrder Form

Please complete all the details below exactly as written on the appropriate page of the web site.

Name of Painting: _____________________________________________________
(e.g. Barbary Babe)

Format:______________________________________________________________ (e.g. Unframed Original / Stretched / Unstretched Print on Canvas)

Currency* = Great British Pounds (£ GBP) (preferred)
  U.S. Dollars ($ USD)
  Euros (€ EUR)
(* Delete as appropriate)

Price: ______________
(Includes Postage, Packing and Insurance)

Please complete your delivery details exactly as you would like them to appear on the parcel. Don’t forget to include your Postal or ZIP code.

Name:  ___________________________________________
Address: __________________________________________
  ________________________________________________
  ________________________________________________
  ________________________________________________
  ________________________________________________
  ________________________________________________
  ________________________________________________
  ________________________________________________
  ________________________________________________
Contact Telephone No.ª:______________________________
Emailª:  ___________________________________________
(ª – Only used in case of problems or questions about your order)

Please print and complete this form and send it with your payment to:
Lauren Hayes Bissell
987a Wimborne Road,
Moordown,
Bournemouth,
Dorset.
BH9 2BS.
United Kingdom

Delivery times: UK deliveries (payment in £ GBP): 28 days
Overseas deliveries (payment in £ GBP): 4 - 6 weeks
Overseas deliveries (payment in € or US$): 8 - 10 weeks

Many thanks for your order.
Lauren.