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Order Form - This is an explanation of the purpose of the form ...

Please note that boxes marked with asterisk * must be completed

Quantity

DESCRIPTION

   
  * Please remember to carefully calculate the amount that you  require your credit card to be debited before you enter the amount below in the Card Details.
   

YOUR POSTAL ADDRESS FOR DISPATCH
Full Name *
Street Address *
Address (cont.) *
Town/City *
County *
Postal Code  if applicable
Country *
  Please ensure that all details are correct including postal address, quantities and sizes before moving to the payment section. Print this entire page on completion.

Please Read the Terms and Conditions

 

 

 

 TERMS and CONDITIONS

I DO NOT wish to proceed any further and want to return to the 'Home Page'  now.


Making you payment online is easy -   

*Credit Card 

*

*Cardholders Name (As shown on Card)

  

*Card Number  (No spaces) 

  

Title 

  

*Expiry Date

            

* Card Code 

  

Please enter the amount (€) that you have now calculated from your order. I authorise the following € (Euro) amount to be debited to my account *  
E-mail *  
Additional Optional Information which may help us to process your payment and in case we should need to contact you. Tel #   

Fax #  

   
We regret that at this time we are only in a position to supply goods/products within the Republic of Ireland, Northern Ireland and the United Kingdom.  

 The Card  Code number is a three digit number and is printed on the of your card. This number is required as an additional security precaution. You will find it on the back of your card. It is along the signature strip immediately following the card account number. Only the last three digits of the number are required.



 

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Last modified: 30/04/2008