Roving Apothecary

Email Me/Printable Order Forms

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Please print off 2 blank copies of this for your self and you can either fill it in and post it to me or scan it in and email it over to me

*NOTE*
If you need ordered items sending to an alternative address, as a gift or with any special instructions, please use the box marked Comments /Alternative Details -
 
At present you can pay via telephone or by cheque or credit transfer, please contact me for further details

Your contact information:
Full name:

Address:

Email address:
Telephone number:
Comments / Alternative Details
Topic on:
Comments, Details or Order here:
ORDER FORMS
   
 

For an order form please use the 'click here' button below and it will enable you to print off a A4 sheet with two order forms - one for you as a duplicate and one to post - simple !

CLICK HERE for an order form

Email Me Direct Click Here

Please be aware that all information will be kept strictly confidential by myself and used only by me to monitor this website and any such information given over to me will not be:
SOLD ON
FORWARDED
RE-DISTRTIBUTED
OR GIVEN OVER TO ANY OTHER PARTY
or
mis-used in any way other than that in which it was intended - contacting and free flow of information bewteen my clients and myself.
Under Data Protection Law 

Contact Details:
 
Postal Address:
 
Mrs Jayne Milner
60 Doren Avenue, Rhyl, Denbighshire.  LL18 4LE
 
Tel: 07990918776