cogbeetle - Order form

Order form

To purchase artwork(s), you will need the 'Art code(s)' provided under each piece in the Gallery.

Please enter your details below and I will send you a 'link payment' request that includes the cost of postage. Once payment has been made, I will dispatch your purchase. Do take a moment to read the terms and conditions. If you would like to set up an appointment for local delivery or collection, please include your mobile number. Otherwise, please use the message field for any queries.

Thank you.

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You have entered the following data:

Please correct your input in the following fields:

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Title: *

First name: *

Surname: *

E-mail address: *

Address 1: *

Address 2:

Town/City: *

Postcode: *

Mobile no.:

Art code(s):

I wish to collect the artwork myself and pay on collection.

I would like to request a local delivery (i.e. within 20 miles of Milton Keynes)

Message:

Captcha (spam protection code): *

I have read the terms and conditions of purchase and hereby give consent for my contact details to be stored electronically solely for the purpose of corresponding with Cogbeetle. I am aware that I can revoke my consent at any time.

Note: Fields marked with * are required

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