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CS Ref No. |
Book Title/Item |
Qty |
Price |
Total |
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Sub Total |
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5% Discount on UK Orders £100+ |
______ | ||||||
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UK Delivery Charge If Order is under £25.00 add £2.50 |
______ | ||||||
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I enclose a cheque made payable to Collectors Supplies for £ __________ (drawn in sterling on a UK bank) |
Total |
______ | |||||
| I wish to pay by Credit/Debit Card (please delete as applicable) WE CANNOT ACCEPT VISA ELECTRON CARDS | |||||||
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Visa * |
Mastercard * |
Switch/Solo/Maestro * |
issue number |
______ |
last 3 digits of security code (on signature strip) |
____________ | ||
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Credit/Debit card number |
_____________________________ |
Valid from |
___ /___ |
Expiry date |
___ /___ |
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________________________________________ Card Holders name (please print) |
________________________________________ Card Holder’s signature |
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Any special instructions (eg. invoice address different from delivery; leave with neighbour etc.) |
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DELIVERY DETAILS (BLOCK CAPITALS PLEASE) |
Office Use Only |
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Name |
Rec |
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Address |
Chq Enc |
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Cust No |
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Postcode |
Shipped |
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Telephone |
(daytime/evening) |
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