Telephone: +44 (0)20 7352 5202   Facsimile: +44 (0)870 125 9464   E-mail: admin@bonbon.co.uk

THIS FORM IS NOT ELECTRONICALLY SUBMITTABLE. PRINT IT OUT AND MAIL, PHONE OR FAX IT IN WITH YOUR PAYMENT.

SHIPPING AND HANDLING INFORMATION

Customer Details,
Same name and address relevant to your credit card.

Name______________________________________

Company___________________________________

Address____________________________________

_____________________ Post code ____________

City________________________________________

Country____________________________________

Phone (day)_________________________________

(Evening)___________________________________

Delivery Details,
Use only if different from customer details

Name______________________________________

Company___________________________________

Address____________________________________

_____________________ Post code ____________

City________________________________________

Country____________________________________

Phone (day)_________________________________

(Evening)___________________________________

E-mail _______________________________________________________________________

PRICES QUOTED INCLUDES  VAT AND  DELIVERY WITHIN THE EC

ORDERING INFORMATION

Item code:

           Description and colour

Qty

Price

Total

__________________

_____________________________

______

_______

____________

__________________

_____________________________

______

_______

____________

METHOD OF PAYMENT

  Delivery Cost:

0,00

VAT:

0.00

____ Enclosed Is Payment- Check Or
U.K postal order (payable to Bonbon Trading U.K.)

Order Total: _______________ 

Visa   ______  MasterCard   ______  Delta   ______
Credit Card No. ________________________________________ Exp. date _____/_____ MONTH/YEAR

Name as on card _______________________________________________________________

Signature and Date____________________________________________________________  


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