MAIL ORDER FORM

Step 1: Print this form.                  Step 2: Fill in the various details.                  Step 3: Post/fax with your payment.  

MINIMUM ORDER 4 JARS                   DELIVERY TIME: 4 - 6 WEEKS

 

QTY

DESCRIPTION

PRICE

TOTAL PRICE

 

QTY

DESCRIPTION

PRICE

TOTAL PRICE

.

Aubergine (Brinjal) Pickle

£ 3.50

.

 

.

Indian Mango Chutney (sweet)

£ 3.00

.

.

Chilli Garlic Sauce (hot)

£ 3.00

.

 

.

Lime Pickle

£ 3.00

.

.

Chilli Green Pickle (v. hot)

£ 3.00

.

 

.

Mango Date Dip

£ 3.00

.

.

Chilli Mango Dip

£ 3.50

.

 

.

Prawn Balchow

£ 4.00

.

.

Coriander Curry Paste/Sandwich Spread

£ 4.00

.

 

.

Tamarind & Date

£ 3.00

.

.

Garlic Pickle

£ 3.50

.

 

 

 

 

 

Curry Pastes

.

Biryani Paste

£ 3.00

.

 

.

Korma Curry Paste

£ 3.00

.

.

Moglai Curry Paste

£ 3.00

.

 

.

Vindaloo Curry Paste (hot)

£ 3.00

.

.

Shashlika Paste

£ 3.00

.

 

.

Ginger/Garlic paste

£ 3.00

.

.

Tandoori Paste

£ 3.00

.

 

 

 

 

 

POSTAGE & PACKING: Please call (020) 8543 7145, before despatching order, to enquire about postal costs. Please allow at least 28 days for delivery.

£

 

GRAND TOTAL.

£

 

 

CLEARLY AND IN BLOCK CAPITALS PLEASE

Name: ………………………………………………………. Tel: …………………………

Delivery Address: ……………………………………………………….…………..……....

……………………………………………………………………………………..….……..

…………………………………………………………………... Postcode: ………………

CREDIT CARD: Please debit my Mastercard/Visa/Delta/Switch card

Card No: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiry date: _ _ /_ _ /_ _ _ _

Cardholder's name: ……………………………………………………….

Cardholder's address: ………………………………………………………………..….…

…………………………………………………………………... Postcode: ………………

Signature: ……………………………………………………… Date :……………….

CHEQUE: I enclose a cheque made payable to Mrs. Bassa's Indian Kitchen Ltd for £ _____ . Orders will only be processed upon receipt of payment.

Please post to Mrs. Bassa's Indian Kitchen Ltd, 64 Sandringham Ave, Wimbledon Chase, London, SW20 8JY or fax to 020 8543 7194 or call 020 8543 7145 or e-mail Mbikltd@aol.com.

 

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02-May-05