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Flightcase Warehouse


Fax Order Form
FAX TO 01827 313877

Order Details
Description QTY Delivery Unit Price Total Cost
£ £
£ £
£ £
£ £
£ £
£ £
£ £
£ £
£ £
£ £
£ £
Sub Total £
VAT (@ 17.5%) £
Total £


Method of Payment
 
Name on card ______________________________
Card Type Visa Mastercard Access Switch/Maestro
Valid From Date:  / Expiry Date:  /
Issue No:
[switch/maestro]
Security No:
[3 digits on back of card]
Card Number ______________________________
Card Holders Signature ______________________________
 


Personal Details
 
    Home Address
Name ____________________
Street ____________________
Town/City ____________________
County ____________________
Post Code ____________________
Country ____________________
Telephone ____________________
 
 
  Delivery Address
Name ____________________
Street ____________________
Town/City ____________________
County ____________________
Post Code ____________________
Country ____________________
Telephone ____________________
 

Flightcase Warehouse
Unit 2 Meltex House, Rear of Mitie Group Building, Mariner,
Tamworth, Staffs B79 7XE, UK.

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