Spreadsheet: 43316428-8f41-4627-9e91-367861cd05a1
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Multiple Destination Order Form | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26 | Unnamed: 27 | Unnamed: 28
This form is best completed on a computer.
Step 1 : Your details
Enter your billing address and contact details. Once we have received the order we will call you to confirm the order contents and take payment.
Sender's Details
 | Title
 | First Name
 | Last Name
 | Address line 1 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Debit or Credit card
 | Address line 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | BACS
 | Address line 3 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Cheque
 | Town |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Pre-approved business account
 | Post Code
 | Email address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Case
 | Telephone number |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Bottle
 | Payment method |  |  | (select from dropdown list)
Step 2 : Recipient's details
Fill out the recipient's name and address details and what you would like to send them. If you want to send one recipient more than one type of product then just repeat their first and last names in all rows relating to their order.
If you wish to gift pack an order please enter "y" in the gift packed column, the charge is £1.20 per bottle. Each bottle will be individually bubble wrapped (gift cartons available in 1, 2, 3, 4, 6 and 12 bottles sizes). You can also add a gift message at no additional cost.
Delivery is charged at £6 per delivery address.
If you have any questions at all about this service please don't hestitate to get in contact via phone (020 8622 4503) or email [EMAIL].
Recipient's Details | Product Name |  | Case or bottle | Price per unit | [NAME] (y/n) | No of units | Delivery (£6 per address) | Total Cost | First Name | Last Name | Company | Address line 1 | Address line 2 | Address line 3 | Town | Post Code | Special Delivery Instructions | [NAME] message (up to 200 characters) | Characters used so far
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 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
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 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
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 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0 |  |  |  |  |  |  |  |  |  |  | 0
 |  |  |  |  |  |  |  | 0