http://www.ostrichesonline.co.uk                            steve@ostrich.com
Tel +44 845 680 9018           UK Order Form             Fax +44 845 680 9019

Send this completed order form and make out all cheques and money orders to:
Ostriches On Line
Franklin House SPSO  20 Maple Road     Bramhall
Stockport Cheshire  UK   SK7 2DJ
Tel +44 845 680 9018 Fax +44 845 680 9019   email steve@ostrich.com

Name & Company: _____________________________________________________________

Address: ____________________________ City: _________________________________

County: ________________  Postcode: _______________  Country: _______________

Tel: _______________________________ Fax: ___________________________________

Email: ______________________________________________________________________

Credit card number: _________________________________________________________

Exp date: ____________________  Security digits: ____________________________

I authorise Ostriches On Line to make the appropriate charges for the
merchandise listed below, plus shipping and handling. I confirm I have read,
understand and accept the the terms and conditions of this order.
Minimum order is 20.00 plus shipping and handling.

Signature: _______________________________  Date: ___________________________

Qty  Product Description             Colour Size Pack       Price       Total

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                                              Shipping & Handling: __________

                                                            Total: __________

Comments, notes or alternative delivery address:

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