Order Form |
This is not a secure site. Please print this order form and either post or fax it. This form is for your conveinience, you do not need it when emailing your order. |
Name |
If I already have your credit card details you do not need to repeat them. |
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Delivery Address |
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Post Code |
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Tel No |
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Fax No |
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Date |
Quantity |
Description |
Size |
Total |
Sub Total |
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| £8.00 per order | * Post, Packing & Admin |
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Total |
| Credit Card No | ||||
| Card Type | Visa | Mastercard | Switch (Issue No) | Paypal |
| Holders Signature | Exp. Date |
| Cardholders Name & Address (if different from above) |
Virginia Cheeseman |
21 Willow Close |
High Wycombe |
HP10 9LH |
Tel / 07971 838724 |