31 CROWN STREET, AYR, KA8 8AG, SCOTLAND, UK
Mail Order Form
| Name: | ............................................................................................... |
| Address: | ............................................................................................... |
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| ........................................Post Code:.......................................... | |
| Telephone: | ............................................................................................... |
| eMail: | ............................................................................................... |
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| Reference | Description | Unit Price | Number Required | Total Cost |
| Postage & Packing - Select the Option you require. Please note that all UK postal options cost £1.00 less if you order online. |
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| Grand Total | ||||
Please make cheques payable to J. Grindlay. We accept Credit/Debit Cards for purchases over £5.00.
Please complete ALL the relevant boxes below :
Items marked ** are required for ALL cards
| Card Type** (Select from the list supplied): | |
| Card Number** : | |
| Expiry Date** : | |
| Security No.**(Last three digits on the back of the card) : | |
| Issue Number (Switch) : | |
| Start Date (Other Debit Card): |