Name

Address

Telephone

email

Delivery Name
(if different to above)

Delivery Address
(if different to above)

Now mark an 'x' where you would like your kiss(es) printed on the tile or coaster!

Tiles: 15cm x 15cm
Coasters: 9cm diameter with cork back.

Message or poem you would like printed with your kiss:

Your message can be printed in your own handwriting as it appears on this form, or in our standard font.
My handwriting / Standard font *delete as applicable.

I would like to order:

1 Kiss Tile/Coaster at £16.00

£16.00

and ____ extra copies

at £14.00 each

£____

Please also supply 1 Kiss Card:

1 Kiss Card at £5.00

£____

And ___ extra copies of Cards:

£3.00 each

£____

Gift packed in tissue and a red Box:

add £2.50

£____

Postage and Packing

£2.50 per order (UK)*

£2.50

TOTAL:

£_____

*Call or email for postage and packing rates outside UK

Payment:

I enclose a cheque for £_____ (please make payable to OnTiles.com Ltd).

Or:

Please debit my VISA/MasterCard/Amex/Switch for: £______

Card No:______________________________ Expiry Date:_____ Issue No._____ (Switch only)

Signed:________________