| Your name:
|
| Address:
|
| Contact telephone number:
|
| E-mail address:
|
| Full names of Bride & Groom:
|
| Date of wedding:
|
| I wish to purchase gift certificates to the value
of ............................... |
| I enclose a cheque for the sum
of....................................................... made
payable to D.Hill |
| If you wish to pay by direct transfer please credit
the account of Derek Hill BSB: 034-070
Account number: 327434 |
|
If you prefer you may pay in cash, please call
to arrange an appointment.
Do not send cash through the post, callers
welcome.
|
| Please send completed order form to: |
|
Derek Hill
Hillshots
18 Seaspray Street
Thornlands
Queensland 4164 |