Order Form

Please complete all relevant sections of the form below and rest assured that your details will never be disclosed to anyone else. Once your order has been received and processed the details (Unlike most Internet Sales companies) are no longer held anywhere in the internet thus ensuring your security.

Please complete fields as appropriate

CARD HOLDER DETAILS

Title
First Name
Surname
House Number or Name
Street or Road
City, Town or Village
County
Post Code                              Must be entered
Work Tel including STD
Home Tel including STD Must be entered a mobile will not be accepted
Mobile Number
E-mail Must be entered

DELIVERY DETAILS IF DIFFERENT AND ANY SPECIAL REQUESTS
(complete all fields if using)

House Number or Name
Street or Road
City, Town or Village
County
Post Code
Contact Tel number And name if Different

Please enter any Special Requests or delivery instructions

Please provide the following Goods

Product name
Model/Colour

Code/Size

Price Quoted

 Show Pounds and Pence (e.g. 657.00)

 

CREDIT CARD DETAILS

Type of Credit card Only these C/C's accepted
Card Number Leave no spaces in number
Expiry Date / If Switch enter Issue Number
Name as written on card
Billing Address
Billing City, Town, Village
Billing County
Billing Post Code
Amount to be debited (Total of above)

How did you find us?

Link
Word of Mouth
Newsgroup
Magazine Advert

I accept that by pressing the submit button below that I wish to order the goods listed above and that I authorise Discount /Net to debit my Credit/Debit Card as detailed above or advised to us by telephone for the amount shown. FRAUDSTERS PLEASE NOTE THAT UPON SUBMISSION OF THIS ORDER FORM YOUR IP ADDRESS IS ALSO DISCLOSED.


We suggest you print a copy of this order for your records. If you do not have a printer attached you can save this page in a file of your choice on the hard disc of your PC by clicking on "File/Save as" and calling this page order (or a name of your choice).html (do ensure that you use the suffix.html or htm in order that it can be viewed again)

 

THANKYOU FOR YOUR ORDER..WE DO APPRECIATE YOUR CUSTOM
YOUR GOODS WILL BE DESPATCHED AS SOON AS POSSIBLE AND IF THERE IS A PROBLEM OR DELAY WE WILL CONTACT YOU IMMEDIATELY. A COPY OF YOUR ORDER WILL BE EMAILED TO YOU ONCE IT HAS BEEN SEEN AND PROCESSED

Sales and Customer Service 01235-530626

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