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FREEFLY JUMP JACKET
ORDER FORM
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| The diagrams show our standard layout ... if you want something different, contact us and we'll be happy to quote for the extra work involved - any design considered!! |
| A............................................................... | B.............................................................. |
| C............................................................... | D.............................................................. |
| E............................................................... | Arm Grips (Optional) colour......................... |
| Chest........................................................ | Waist......................................................... |
| Neck......................................................... | Armpit to Wrist........................................... |
Throat to Crotch........................................ (Measure down front of body from the top of the V in your collar bone down to where the seams in your jeans meet!). |
Wrist.......................................................... |
| Weight...................................................... | Height......................................................... |
| Useful information............................................................................................................ | |
| ...................................................................................................................................... | |
| ...................................................................................................................................... | |
| QTY | PRICE | |
| Freefly Jump Jacket (for standard design only) £ 80.00 | _____ | _______ |
| Additional colours £5 per colour | _____ | _______ |
| Arm Grips £20.00 (pair) | _____ | _______ |
| Custom/Additional work P.O.A | _____ | _______ |
Post and Packing costs: | _____ | _______ |
| TOTAL ORDER VALUE | _____ | _______ |
DESPATCH AND PAYMENT DETAILS
Name............................................................................................................................. | |
Delivery Address............................................................................................................. | |
..................................................................................................................................... | |
Country......................................................... | Post/Zip Code.......................................... |
Telephone..................................................... | Fax......................................................... |
| Email.............................................................. | |
| Mobile............................................................. | |
| Date order placed......../...../..... | |
| Unfortunately we aren’t able to offer ordering on line, but you can pay by the following methods: - |
| 1.
UK residents-cheque (sterling),
banker's draft, MasterCard, Debit MasterCard, Visa Credit, Visa Debit (Sorry
we don't take Switch!) 2. All other countries - MasterCard, Debit MasterCard, Visa Credit, Visa Debit |
| 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: MASTERCARD / DEBIT MASTERCARD / VISA CREDIT / VISA DEBIT CARD HOLDER NO: |
| CARD EXPIRY DATE _____/_____ |
| CARD HOLDERS ADDRESS AND POST/ZIP CODE (if different from the delivery address above) |
| ........................................................................................................................... |
| ........................................................................................................................... |
| CARD HOLDER'S SIGNATURE.................................................................................. |
Please complete the above and return to us by one of the following methods:
POST:
ORIGINAL LIZARD