Order Form

We are unable to process any orders online. Please print off this order form and send it with a cheque made payable to “The Rainbow Centre” to Angela Emms, The Rainbow Centre, 27 Lilymead Avenue, Bristol, BS4 2BY.

If you have any queries please don’t hesitate to call us on 0117 985 3343 or email.

* If you are a UK tax payer and have made a donation or requested a “Gift of Therapy” please complete the gift aid form, so we can claim the tax back on your donation at no extra cost to yourself and send it in with your order.

Order Form

To contact us call:

0117 985 3343

Item	Description	Quantity	Price	Subtotal
1	Make a noise		£30 per session
2	Add some colour to a child’s life		£30 per session
3	Lend an ear		£30 per session
4	It’s playtime!		£30 per session
5	Working it out together		£30 per session
6	Light a Christmas Candle		£10
7	Rainbow Wristbands		£2 each
8	Rainbow Christmas Cards - Snowman design		£1.50 per pack of 5
9	Rainbow Christmas Cards - Hand Christmas Tree design		£1.50 per pack of 5
10	Rainbow Christmas Cards - Tree design		£1.50 per pack of 5
11	Luxury Cards - Glitter design		£2.50 per pack of 5
12	The Famous Rainbow Centre Recipe Book		£4.99
			Donation *
			Total

If you have made a donation or gift of therapy on behalf of a friend or relative, please complete their details so we can send them an acknowledgment card. You may include a personal message for the card.
Recipient’s Name:
Recipient’s Address:
Your personalised message for acknowledgement card to the recipient:

Method of payment
	Cheque	I enclose a cheque for the value of £ ______ Made payable to “The Rainbow Centre”
	Invoice Me	Please send me an invoice for this order. (Please note goods will not be despatched until order is received).
Please print off this form and send it with payment to: Angela Emms, The Rainbow Centre, 27 Lilymead Avenue, Bristol, BS4 2BY