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To
place your order, please print the following
form, complete it and
fax it to
us on:
+44
(0)15242 72219 or post it to the address
at the bottom of the page.
Alternatively, go to our
secure
order page.
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Mr/Mrs/Miss/Ms:
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Address:
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Postcode:
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Daytime Tel No:
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DELIVERY ADDRESS (If Different)
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Mr/Mrs/Miss/Ms:
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Address:
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Postcode:
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Daytime Tel No:
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DESCRIPTION
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WEIGHT (kg)
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PRICE PER KG
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TOTAL
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DELIVERY DETAILS
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GOODS TOTAL
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CARRIAGE & PACKING*
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GRAND TOTAL
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*£10.50 up to 15kg +
£2 for every 5kg
thereafter.
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Delivery
to the Highlands and Islands of Scotland is
by arrangement - Please enquire.
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METHOD OF
PAYMENT
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Please debit my
(please circle):
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MasterCard
Visa
Visa Electron
Switch
Solo
Delta
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Credit Card No:
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Valid From
(mm/yy):
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Expiry
(mm/yy):
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Issue Number
(Switch/Delta only):
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Signature:
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Or, I enclose a
cheque/postal order for
£____________
Payable to 'Mansergh
Hall'
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IF PAYING BY CREDIT CARD, CARD HOLDER'S
NAME, ADDRESS AND TELEPHONE NUMBER MUST BE
SHOWN, IF DIFFERENT FROM ABOVE
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Name:
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Address:
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Post Code:
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Daytime Tel No:
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