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Cloaks of Ireland e-mail order form
Please fill in order form and e-mail to us. Thank you for your custom.
Siobhan Wear House
#13 Connolly Street,
Bandon,
Co. Cork,
Ireland.

From Ireland Tel : 023-8843993 or 021-4378255
From Ireland FAX : 023 - 8854040

From outside Ireland Tel: +353-23-8843993 or  +353-21-4378255
From outside Ireland Fax: +353 - 23 - 8854040

Item name:
Item number:
Fabric:   
Fabric colour: 
Lining:
Lining Colour:
Full Height (J) :
Dress Size (I): (Women only)
Bust/Chest Size (E/F):
Desired finished
length of garment
in inches
or centemetres (H) :		  (knee? / calf? / ankle?)
Shoulder Size (G):
(from tip of one shoulder to tip of other across the back)
Neck
Curcumference (B):		  
 Comments/changes:   
 Quantity: Unit price : Shipping:  Insurance: Total:

Other Comments:

Shipping Charges - € Euro
Priority Mail - Great Britain & Europe
takes 2-3 weeks delivery
Contents value: € Shipping Cost: €
1.00
36.00
76.00
141.00
201.00
301.00
 to 35.00 = 18.00
to 75.00 = 19.00
to 140.00 = 24.00
to 200.00 = 27.00
to 300.00 = 30.00
to 500.00 = 34.00
Insurance = €5
Shipping Charges - € Euro
Economy Mail - Great Britain & Europe
takes 2-3 weeks delivery
Contents value: € Shipping Cost: €
1.00
36.00
76.00
141.00
201.00
301.00
 to 35.00 = 5.50
to 75.00 = 7.60
to 140.00 = 8.00
to 200.00 = 8.40
to 300.00 = 9.00
to 500.00 = 10.00
Insurance = €5
Shipping Charges - $ US Dollars
Priority Mail - USA & Canada
takes 2-3 weeks delivery
Contents value: $ Shipping Cost: $
1.00
36.00
76.00
141.00
201.00
301.00
 to 35.00 = 20.00
to 75.00 = 25.00
to 140.00 = 30.00
to 200.00 = 35.00
to 300.00 = 40.00
to 500.00 = 45.00
Insurance = $5
Shipping Charges - $ US Dollars
Economy Mail - USA & Canada
takes 2-3 weeks delivery
Contents value: $ Shipping Cost: $
1.00
36.00
76.00
141.00
201.00
301.00
 to 35.00 = 10.00
to 75.00 = 12.00
to 140.00 = 16.00
to 200.00 = 18.00
to 300.00 = 20.00
to 500.00 = 25.00
Insurance = $5
Cheque  Money Order  Master Card  Visa  Access
Total $:
Expiry Date :
Card Number:
CCV Number:
Signature:
Credit Card Billing details: Delivery details: (if different from billing details) 
Name Name
Street Street
City/State/Zip City/State/Zip
Phone # Phone #
Email address Email address