SUGAR CITY

78 Battle Road, St Leonards-on-Sea, E. Sussex. TN37 7AG

Tel: 01424 432448 Fax: 01424 421359 E-mail: sugarcity@btinternet.com

ORDER FORM

Code no        Item                            Price   Quantity       Total

 

 

 

 

 

 

 

 

 

 

 

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                                                              P&P*                  ______

 

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*Post & Packing:

Charged at postage cost plus 50p. If paying by cheque, please ring for prices.

 

I enclose: Cheque / Postal Order value £…………….        

 

Or please charge my credit/debit card  VISA/MASTERCARD/AMEX

 

                 No:……………………………………………..

 

                 Valid from:………………..Expiry on:…………………..Issue No: ………...

     

           Security numbers (last 3 on signature strip on back of card) …………...

      

                 Signed:…………………………………………

 

 

Name: (Block capitals please)……………………………………………

Address:…………………………………………..

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              Post Code: ……………………………….

Daytime telephone number: ……………………………………….