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CUSTOMER ORDER FORM for telephone, postal and fax orders
Clean Slate Design Ltd
Craig y Tan
Trawsfynydd
Gwynedd

North Wales
LL41 4TH
TELEPHONE 01766 540 885
FAX 01766 540 885
How to order
1 Print this form (just click the 'Print' button on your browser)
2 Browse the product listings using the form to write your requirements.
3 You can then choose to either...
TELEPHONE your order 01766 540 885 and advise your credit card details
or POST your order, with credit card details or cheque
or FAX your order 01766 540 885 with credit card details

PLEASE PRINT EXTRA COPIES OF THIS FORM AS NECESSARY
Please read our DELIVERY PAGEWHICH INCLUDE DETAILS OF PACKING AND DELIVERY COSTS.
Item Ref Description Price each £ Quantity Required Total Price £
         
         
         
         
         
         
         
         
         
         
         
sub total  
Please read our DELIVERY PAGEWHICH INCLUDE DETAILS OF PACKING AND DELIVERY COSTS. delivery  
VAT 17.5 percent  
TOTAL £
CHEQUE Payable to 'Clean Slate Design Ltd'
or CREDIT/DEBIT CARD ... we accept Visa, Mastercard, Switch, Delta
Visa / Mastercard / Switch / Delta
(mark as appropriate)
Expiry Date Start Date
(Switch, Delta only)
Issue Number
(Switch, Delta only)
Card number        

Please charge my card account. Signature:
 
Your Name
Home Address
 
 
 
Telephone