Towers

Fax & Post ORDER FORM

You can type in the boxes or print and hand write if you prefer

Billing Details

Name                  

Address               

Address               

Address               

Postcode             

Phone Number     

Email address        

Delivery Details IF Different From Above

Name / F.A.O      

Address               

Address               

Address               

Postcode             

Phone Number     

Product Details

Product Description       Price £(for verification)    

Product Description       Price £(for verification)    

Product Description       Price £(for verification)    

Carriage Standard Usually Within 5 Working Days £10.00 + VAT Express One or Two Working Days £22.00 + VAT* Special Item (Price On Application)

Payment Method

Payment VISA MasterCard Switch Cheque Enclosed JCB Invoice (Approved accounts) Invoice (Pre Pay) Card Number     Start Date     Expiry Date

Issue Number (Switch Only)     Security Code (3 digits)    

You can now post this as below or fax it to 0207 149 9842

Postal Payment By Cheque Payable To Austin White Ladders Ltd

Austin White Ladders Ltd
9 Northleigh Grove
MARKET HARBOROUGH
Leicestershire
LE16 9QU

Faxes with credit card to 0207 149 9842