Scooterzone Email Order Form       

Please complete all the details below

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Customer Information

Name

Address

County

Country

Zip/Post code

Telephone (home)

Telephone (daytime)

Mobile

FAX

E-mail


Payment Details

To pay by Credit card (Excluding Amex and Diners Club) please complete the following information details

Card Type Other card Type 
Card Number --- Expiry Date (mm/yy) -

Your Credit card will be only debited on the day of despatch.


Order Details

Product & order number

 Size Colour Qty Price/item Total Price

Postage and packing **

Thank you for your custom

Total (£)

       
Prices inclusive of VAT at 17.5%
Please allow 14 days for delivery Postage and packing **          
Goods may be axchanged within 7 days of purchase £4.50 on clothing and accessories

Additional Comments

Revised: 19 October 1999. © Copyright Scooterzone.
Croftonite I.T. Services

Web pages by Croftonite I.T. Services. Telephone: +44 (0)208 523 9196
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