Heathfield Antiques: Order Form, Furniture Orders

The Furniture Specialists

Tel: 01263-711609

Antique furniture

Basket & Loom Furniture

Sofas and Upholstered Chairs

Tables Made to Order

French Gilt Range

Miscellaneous Mirrors

Leather Furniture

Outside Furniture

Painted Furniture

Reproduction furniture

ORDER FORM FOR FURNITURE

Name:*
Address:

City/Town:
County:
Post Code:*
Email:*
Home Phone Number:
Day Time Telephone Number:*
Delivery Address if different from above:

City/Town:
County:
Post Code:

FURNITURE ORDER

Ref. No.	Quantity	Description	Price Each (U.K.£.)

PAYMENT DETAILS

Mastercard	Visa	Debit/Switch	Cheque	Bank Draft	Other

E.Mail heathfield-antiques

Tel/Fax: +44 (0)1263-711609