| Mr / Mrs / Miss | |
| First Name | |
| Surname | |
| Address | |
| Country | |
| Telephone | |
| Email Address | |
| Delivery Address | |
| Tapered Tumbler | Small Tumbler | Cup | |
| Creamy Vanilla | n/a | ||
| Creamy Pineapple | n/a | ||
| Strawberry Kiwi | n/a | ||
| Orange and Clove | n/a | ||
| Fresh Peach | n/a | ||
| Cranberry Chutney | n/a | ||
| Mango and Papaya | n/a | ||
| Chocolate Fudge Cake | |||
| Christmas Tree | n/a | ||
| Mint Field | n/a | ||
| Peppermint | |||
| Spearmint | n/a | ||
| Hot Cinnamon | n/a | ||
| Lavender | n/a | ||
| Coffee | n/a | n/a | |
| Raspberry Sorbet | n/a |
| Mixed Fragrance | Salad Bowl | |
| Strawberry and Vanilla | ||
| Apple and Cinnamon | ||
| Mango, Raspberry, Pineapple | ||
| Mint and Chocolate |
| Total | |
| Postage (see 'Prices' link on website) + £1.00 Packaging | £ |
| Total | £ |