glass5.gif For security reasons please do not E-mail us with your credit card details,

send them by fax instead to ++44(0)1380 850140

Credit Card Details (to be used with your Order Form)

 

 

 

 

 

 

  glass5.gif Return to the

order form here

 

 

We accept Credit Card payments for goods required

 

Please can you fill in and fax us your details, using the form on this page, Thanks.

 

Goods will be sent upon receipt and clearance of your payment details and as long as the stock is available.

 

 

 

Your Details for Credit Card Payment

Your Name

First name, Surname>

 

Your Address

Street number & name>

 

 

Location>

 

 

Town, City>

 

 

County, Post Code>

 

 

Country>

 

Your Telephone No.

Tel Number>

 

Your Fax No.

Fax Number>

 

Payment details

Credit Card Type>

 

 

Credit Card Number>

 

 

Expiry date>

 

 

Name on the card>

 

 

Address on Card

if the same as above tick here >

>

if different address from above >

 

please write different address here>

 

>

Card Holders signature>

Please sign here to give your authority to debit your credit card with the total of the goods as ordered>

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