E.M.Computergraphic's UK/Europe FAX Order Form
Name:______________________________Telephone: (_______)_____________________
Address:__________________________________________________________________
Town:__________________________County:____________________Postcode________
Date:_________________________________
Payment:______________________________Make Payable to:E.M.Computergraphic
National cheque in sterling enclosed for £______________
Switch and Delta UK debit cards or Access, Visa, Mastercard, Eurocard.
Card Number________________________________________EXP. DATE________
SIGNATURE_______________________________________
Email:________________________________
Quantity Item # Description Price TOTAL _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________
Total Shipping Charges:___________________ Total Amount for Items: _____________________ TOTAL AMOUNT:____________________