| Order form | |
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Please complete and print out this order form
and post or fax to: |
Phone:
020 8808 2336 Fax: 020 8365 1534 |
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Contact/Delivery
details
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| Title | |||
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Surname
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Daytime telephone | ||
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Initials
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Fax number | ||
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Delivery address
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Email Address | ||
| N.B. The carrier will require a signature on delivery of your order, please ensure there is someone to receive it | |||
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Postcode
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| Order details | ||||
| Catalogue number | Descrption (including size and/or colour) | Qty. | Unit price | Total price |
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Total order value VAT at 17.5% Postage and packing Payment total |
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| Payment details | |||||||||||||||||||||||||||||
| Payment method | Cheque payable to W.S. Jenkins & Co Ltd in GB pounds (name and address on the back, please) | ||||||||||||||||||||||||||||
| or | Visa MasterCard Switch Delta | ||||||||||||||||||||||||||||
| Cardholder name |
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| Card holder home address | |||||||||||||||||||||||||||||
| Postcode | |||||||||||||||||||||||||||||