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