Bex Creates order form

Name

Full Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Pillow with inner

Pillow cover with the inner, please note that this cannot be couriered. 45x45cm

330.00 ZAR Quantity

Pillow Cover

The pillow cover without an inner. This can be couriered. 45x45cm

300.00 ZAR Quantity

Tote Bag

A soft shell tote bag. This can be couriered. 45x45cm 32cm strap

330.00 ZAR Quantity

Apron

An apron with an art print pocket

280.00 ZAR Quantity

Collect

Collection is in Edgemead, Cape Town, Address will be given upon arrangement

Free

Courier

Courier is sent to your door

100.00 ZAR

Total

Pillow Print/s

Number/s or name/s of the print for your pillow/s

Tote Bag Print/s

Number/s or name/s of the print for your tote/s

Apron Print/s:

Address For Courier

Street Address

Street Address Line 2

City

Postal Code

Notes

Is this a present, do you need it by a certain day, message for receiver etc.