Jennifer Pudney Order Form

If you would prefer not to place your order from the Jennifer Pudney™ range over the internet, you can print this page, fill it in and fax, phone or mail it to us.

We don't recommend you send credit card details via email. It is much safer to use our secure shopping process over the internet. If you would like to find out more about secure shopping over the internet click here.

Name:
Address:
Town/City:
State:
Country:
Zip/Postal Code:
Email:
Phone:

	I enclose a cheque (payable to Nancy's Embroidery Ltd)
	Please debit my Visa / Mastercard

Cardholder's Name:
Card Number:
Expiry Date:	/	CSC*	____

Please note that your credit card will be billed in New Zealand. There may be small differences in the amount charged in your home currency due to exchange rate fluctuations.

*3 digit security code on t he back of your card