PO BOX 59, 61 Great Underbank, Stockport Cheshire. SK1 1LE

Your Details (Please write in block capitals)

 

Title:

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Name:

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Address:

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Post Code:

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Tel Number:

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E-mail

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Order Form (Please write in block capitals)

ORDER NUMBER

SIZE

DESCRIPTION

VHS

DVD

QTY

UNIT PRICE

TOTAL PRICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL

 

£

Credit Card Details...

 

Card Type      VISA ___   MASTER CARD ___   SWITCH ___        Issue Number ____

 

Card Number _____________________________       Card Expire Date _____________

 

For security purpose, please enter your Card Security Code (last 3 digits with in your signature strip on the reverse of your card).______________     

 

Signature __________________________

 

Please tick here if you wish to be added to our mailing list __

 

All goods will be delivered to the credit card holders address

 

Please make Cheque's or Postal Orders payable to H.H.H Holdings

 Goods are normally delivered with in 7 working days, but please allow upto 14 days.