Flightcase Warehouse
Fax Order Form
FAX TO 01827 313877
Order Details
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Delivery |
Unit Price |
Total Cost |
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| Sub Total |
£ |
| VAT (@ 17.5%) |
£ |
| Total |
£ |
Method of Payment
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Name on card |
______________________________ |
| Card Type |
Visa |
Mastercard |
Access |
Switch/Maestro |
Valid From Date:  / |
Expiry Date: / |
Issue No:
[switch/maestro] |
Security No:
[3 digits on back of card] |
| Card Number |
______________________________ |
| Card Holders Signature |
______________________________ |
| |
Personal Details
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Home Address |
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| Name |
____________________ |
| Street |
____________________ |
| Town/City |
____________________ |
| County |
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| Post Code |
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| Country |
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| Telephone |
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Delivery Address |
| Name |
____________________ |
| Street |
____________________ |
| Town/City |
____________________ |
| County |
____________________ |
| Post Code |
____________________ |
| Country |
____________________ |
| Telephone |
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Flightcase Warehouse
Unit 2 Meltex House, Rear of Mitie Group Building, Mariner,
Tamworth, Staffs B79 7XE, UK.
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