| |
|
ORDER REQUIREMENTS
| QTY | PRICE | |
| Skydive helmet bag £ 30.00 | _____ | _______ |
Post
and Packing costs: |
_____ | _______ |
| TOTAL ORDER VALUE | _____ | _______ |
Name............................................................................................................................. |
|
Delivery
Address............................................................................................................. |
|
..................................................................................................................................... |
|
Country......................................................... |
Post/Zip
Code.......................................... |
Telephone..................................................... |
Fax......................................................... |
| Email............................................................ | |
| Mobile........................................................... | |
| Date order placed......../...../...../ | |
| Unfortunately, we aren’t able to offer ordering on line at the present time, but you can pay by the following methods: - |
| 1.
UK residents-cheque
(sterling), banker's draft, Master Card, Visa Card, Delta Card (Sorry we don't take Switch!) 2. All other countries - Master Card, Visa Card, Delta Card |
| I enclose
a Cheque for the full order value of £ _____________ Made payable to ORIGINAL LIZARD Or: Please debit my credit card the amount of £ ______________ Credit card details: MASTER CARD / VISA / DELTA CARD HOLDER NO: |
| CARD EXPIRY DATE __/__/____ |
| CARD HOLDER'S ADDRESS AND POST/ZIP CODE (if different from the delivery address above) |
| ........................................................................................................................... |
| ........................................................................................................................... |
| CARD HOLDERS SIGNATURE.................................................................................. |
Please complete the above and return to us by one of the following methods:
POST:
ORIGINAL LIZARD