Invoicing Address :

Name :

Address :

Postcode :

Daytime Telephone :

Delivery Address (if Different from above) :

Name :

Address :

Postcode :

Dear Parfums Bleu Ltd, please find my order below as follows :

Quantity Description : Size: Price : Required:

After Shave Lotion	75ml	£9.95
After Shave Lotion	125ml	£13.95
Eau de Toilette Spray	100ml	£14.95
Body Spray	150ml	£3.95
Talc	100g	£3.95
Talc	200g	£5.90

* Prices are inclusive of VAT and Delivery

I hereby enclose a cheque made payable to ‘Parfums Bleu Ltd’ for the total amount of : _________

Thank You.