For simultaneous access to the order form and your cloak /cape page click here

Please close this window when you have finished printing by clicking on the red box in the top 
 right-hand corner of your screen
Siobhan Wear Fax Order Form
Please print out this form, then fill in your details an fax it 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 - 54040

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:

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 _______________________________