SNAKES PIX - ONLINE ORDER FORM
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
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7 x 5 |
7.00 |
| 8 x 6 |
8.00 |
|
10 X 8 |
10.00 |
|
16 X 12 |
25.00 |
|
30 X 20 |
35.00 |
PLEASE SPECIFY EVENT ATTENDED THIS ORDER RELATES TO ____________________________________________________________
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Total |
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Packing & Post |
£1.95 |
| ORDER TOTAL |
Payment
must accompany order
Cheques should be made payable to
*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