| |
ORDER REQUIREMENTS
| SIZE | QTY | PRICE | |
| "Addicted to”
Adrenalin T-shirt (Unisex) colour black size M/L/XL .................................£ 18.00 |
_____ | _______ | ________ |
| “Addicted to”
Adrenalin T-shirt (Unisex) colour white size M/L/XL ................................£ 18.00 |
_____ | _______ | ________ |
| “Addicted to”
Testosterone T-shirt (Unisex) colour black size M/L/XL .................................£ 18.00 |
_____ | _______ | ________ |
| “Addicted
to” Testosterone T-shirt (Unisex) colour white size M/L/XL ................................£ 18.00 |
_____ | _______ | ________ |
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 at the present time, 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 HOLDER'S 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