Please send me: Item no. Description/Colour Qty Price Total _______|__________________________________________|_____|______|_______ _______|__________________________________________|_____|______|_______ _______|__________________________________________|_____|______|_______ _______|__________________________________________|_____|______|_______ _______|__________________________________________|_____|______|_______ _______|__________________________________________|_____|______|_______ Add postage and packing: ______________________________________________ Total price of order: ______________________ My details Name:__________________________________________________________________ Address:_______________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ I wish to pay by Visa____ Access_____ Mastercard_____ Other____________ Credit card number: __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/ Credit card expiry date:__/__/ Signature______________________________ I authorise you to debit the total of £ _____________ __from my account.Postage and packing:
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