TUESDAY, FEBRUARY 07, 2012
YOUR DETAILS
Title:
Name:
Your Address:
Your e-mail address:
Telephone:
YOUR RECIPIENT(S)
(Please supply as much information as you can, so that the page can be as fully personalised as possible.)
Occasion:
Title:
Name(s):
Address: (or home town/area):
Age(s):
Occupation(s):
Employers:
Principal pastime(s):
What impossible fantasy/luxury/treat
would your recipient(s) most like to receive as a gift?
Name and age of first friend/relative to whom
a spoof quote can be attributed in the story:
- Years old
This person is the recipient(s)' ('friend', 'colleague', 'son' etc):
Name and age of second friend/relative to whom
a spoof quote can be attributed in the story
- Years Old
This person is the recipient(s)' ('friend', 'colleague', 'son' etc):
Names and ages of recipient(s)’
spouse/partner/children/parents, as appropriate (please state who is what):
- Years old


- Years old


- Years old


- Years old


- Years old
Recipient(s)' tipple of choice:
Pub frequented by recipient(s):
Please name a couple of the recipient(s)' favourite (or least favourite) celebrities:

Loves:

Hates:
‘Publication’ date for the page (probably date of the occasion?):
Would you like to end the story with a brief greeting to the recipient(s) (eg: ‘Best wishes from all at the office’, ‘Congratulations from Dave and Penny’):
Any other information to make the page more personal (think catchphrases, pet hates, habits etc):
Now please either upload a digital photograph (high resolution please) here. Please note we only accept JPG format images:
Or indicate here that you will be posting a print separately: - I will post an image separately.
OCCASION SPECIFIC QUESTIONS
(Engagement occasion only)
Where and when did the couple get engaged?:
Where and when are the couple getting married?:
YOUR ORDER
One A3 front page (required).........................................................................................
OR one custom-written A3 front page.........................................................................
Laminating at £1.95.......................................................................................................
No of extra A3 copies at £2.95................................................................................
No of extra laminated A3 copies at £4.90...............................................................
Post and packing at £2.40 (required)..........................................................................
Total.........................................................................................
I agree to the terms and conditions (required):
EXTRA! EXTRA! READ ALL ABOUT IT!
For a limited period, customers ordering items from this website will receive a voucher entitling them to a £3 discount to be redeemed against any subsequent order.
POST US YOUR ORDER INSTEAD!
Alternatively, off this order form and send, with your photograph and a cheque for the appropriate amount (calculate above), made payable to Headline Grabbers, to:

Ian Gill,
Headline Grabbers,
Blackburn Croft,
Orbliston,
by Mosstodloch,
Moray,
Scotland IV32 7LN