1. Print out this page and complete with the product details you wish to purchase.
2. Call La Maison Bleue on 01827 373737 to check availability and confirm total amount of order.
3. Make cheque payable to La Maison Bleue Limited.
4. Send your completed form and cheque to:
   La Maison Bleue Ltd, Weston House, No Man's Heath Road, Chilcote, Derbyshire, DE12 8DQ

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