Order Form Name: _____________________________ Address: _____________________________ _____________________________ _____________________________ _____________________________ Postcode _____________________________ Phone number: _____________________________ _____________________________ e-mail__________________________

Delivery if different Name: _____________________________ Address: _____________________________ _____________________________ _____________________________ _____________________________ Postcode _____________________________ Phone number: _____________________________ _____________________________

Product	Quantity	Colour	Price	Total
Tilehurst 4			190
Tilehurst 6			230
Tilehurst 6 + stand			270
Tilehurst 9			270
Tilehurst 9 + stand			300
Budget Trio House			100
3/4 chicken Ark			210
6/7 chicken Ark			240
8/10 chicken ark			290
Run extension (carriage extra if ordered separately)			100
Wycombe house			300
Wycombe house and stand			360
Large house			490
Large house 3 Extension			80

Please enclose a cheque payable to Wells Poultry Housing or Paypal payment to info@chicken-house.co.uk for 25% of the total when ordering, the rest to be paid on or prior to delivery.

Return this order form to :

Simon Wells. 1 Gratwicke Road, Reading, RG30 4TU

0118 9416129 / 07970517938