BONBON TRADING U.K.(FAX OR POST ORDER FORM)

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)___________________________________

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____________________________________________________________