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Customer Details, Same name and address relevant to your credit card. Name______________________________________ _____________________ Post code ____________ Phone (day)_________________________________ (Evening)___________________________________ |
Delivery Details, Use only if different from customer details Name______________________________________ _____________________ Post code ____________ Phone (day)_________________________________ (Evening)___________________________________ |
E-mail _______________________________________________________________________ |
PRICES QUOTED INCLUDES VAT AND DELIVERY WITHIN THE EC |
ORDERING INFORMATION |
Item code: | Description and colour |
Qty |
Price |
Total |
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__________________ | _____________________________ |
______ |
_______ |
____________ |
|
__________________ | _____________________________ |
______ |
_______ |
____________ |
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METHOD OF PAYMENT |
Delivery Cost: |
0,00 |
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VAT: |
0.00 |
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____ Enclosed Is Payment- Check Or U.K postal order (payable to Bonbon Trading U.K.) |
Order Total: _______________ |
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Visa ______ MasterCard ______ Delta ______ | |||||
Credit Card No. ________________________________________ | Exp. date _____/_____ MONTH/YEAR | ||||
Name as on card _______________________________________________________________ |
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Signature and Date____________________________________________________________ |
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browsers back button to return]