                                               SNAKES PIX - ONLINE ORDER FORM
          Eden House, 20 Saint Albans Avenue, Queens Park, Bournemouth, Dorset BH8 9EE
                         Order Line : 01202-519415 website: www.Snakespix.co.uk

Name _________________________________________________________

*Address ______________________________________________________________________

* Postcode ___________________

Telephone * STD CODE ( _____________ ) _______________________

Email _________________________________ @ ______________________________

Please Supply telephone number and where possible an e-mail address in case we need to contact you

PRICES

10 X 8 print	10.00
16 X 12 poster	25.00
30 X 20 poster	35.00

PLEASE SPECIFY EVENT THIS ORDER RELATES TO ____________________________________________________________

Image No. / Name / Location	Quantity	Size/Product (sizes in inches)	Price	Total




			Packing & Post	£1.95
			ORDER TOTAL

Cheques should be made payable to ‘EventPix4U’

Payment by Credit Card - Please note that in order to obtain authorisation for payment by credit card we must now be in
possession of all information marked below with an asterisk (*) AND a valid postcode (above) as they are all part of the new
PDQ security checks for your protection when debiting your card

*Credit card No:   _______/ ________/ _______/ _______

*Start Date _____    / ________ *Expiry Date  _____    / ________ *Security Code (last 3 digits on reverse) _____

Issue Number (debit & Maestro cards) _____________

Registered card holder (if different to above) ______________________________

Registered card holders address (if different to above)

__________________________________________________________________________________________

Please allow 5-7 working days for delivery