| Ordering Your | |
| Chocolates For UK Delivery | |
| Please enter the quantity and value of the goods you require, complete the rest of the form and click the "Send Now...." button. For your own protection, please note there is no encryption of credit card data at present. If you prefer you can order:- | |
| BY PHONE: | Telephone your order on +44 (0) 1928 577685 |
| BY POST: | Print this form, complete and post to: |
| Ultimo Chocolates | |
| 2 Coniston Close | |
| Beechwood West | |
| Runcorn | |
| Cheshire WA7 2QJ | |
| England |
Or please debit my Mastercard/Visa Card
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| Recipient No.1: | |
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| Your chocolates will normally be despatched within 24 hours unless specified below. | |
| Please Deliver Prior To: | |