PLEASE PRINT THIS FORM

Cheques should be crossed and made payable to Altaygo Jewellery Ltd.
Please send a completed order form with your cheque to:
Altaygo Jewellery Ltd
PO BOX 506
HUNTINGDON
PE28 2WS
Please note, your order cannot be despatched until payment has been cleared.

Billing Address: * These fields are mandatory
Name:

*

Surname: *
E-Mail Address:  
Address Line 1: *
Address Line 2:  
City: *
County / State / Province: *
Post Code: *
Country:
Daytime contact number: *

If Delivery Address is the same as billing address please click here
Delivery Address:
Delivery Name: *
Address Line 1: *
Address Line 2:  
City: *
County / State / Province: *
Post Code: *
Country:

Type your message here: