Reservation Form

To purchase an item, please complete the form below, print it off and send it with a cheque (payable to M.F.R.C.Ltd) to: MillRace Furniture, Moulsham Mill, Parkway, CHELMSFORD CM2 7PX
We will contact you and confirm when you may collect the item. Please note that we normally expect items to be collected within 10 working days from clearance of cheque.

If you would like to complete the reservation form online, please do so here. When completed please click on <SUBMIT> at the bottom of the page.

Alternatively, you can download a PDF version, complete it within Adobe Reader, and EITHER email it back to mill.r@virgin.net

, OR print it out, and fax to us on (01245) 608310 or mail to us at MillRace Furniture, Moulsham Mill, Parkway, CHELMSFORD CM2 7PX - this requires that you have Adobe PDF Reader.

Click link on left to download the free Adobe reader.

REGISTRATION / BOOKING FORM

YOUR DETAILS

Name * Please enter Name

Do you wish to pay by credit card?

Yes If Yes, we will send you a PayPal invoice (this does not require you to have your own PayPal account)

Address 1 * Please enter Address Line 1

Address 2

Address 3

Town/City * Please enter Town or City

Postcode * Please enter Postcode

Telephone Please enter numbers only - no brackets or spaces

Mobile Please enter numbers only - no brackets or spaces

Item Reference(s)?

Total Cost?

We will be in contact to confirm that the item is reserved for you.