Print this page  
TUNNELL HARNESS ORDER FORM

ORDER REQUIREMENTS
   QTY  PRICE
Tunnel Harness £ 25.00 _____ _______

Please state
Waist size ...........................................
Upper thigh size ..................................

_____ _______

Post and Packing costs:
UK Mainland and BFPO £2.00 , Europe £3.00, Rest of the World £6.00

_____ _______
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 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
11 HUMBERDALE DRIVE
NORTH FERRIBY
EAST YORKSHIRE
ENGLAND
HU14 3LB
TELE/FAX: + 44 (0) 1482 635483
E-MAIL: info@original-lizard.com