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Your Fax: |
Tom
Costello 62
Knowsley Road Cressington Park
Liverpool L19 OPG
England
Tel: (UK) 0151 427 1444 Email: PrintPleaset@aol.comaol.com
You may print this form and post your order with payment to the address above
Alternatively you may order by post on your headed notepaper
Electronic payment may also be made by email or phone
Purchase
Order Form
To order Folio images please print, complete and post this form. Cheques should be made payable to Tom Costello and sent to the address above. It is not essential to use this form to provide the details we need.
Delivery Address
| Title: | Mr. / Mrs. / Miss. / Ms./ Other |
| First name / Initials / Last name: | |
| Company: | |
| Address (1st line): | |
| Address (2nd line): | |
| Address (3rd line): | |
| Post code / Zip: | |
| Country: | |
| Telephone Number (Day): | |
| Telephone Number (Evening): | |
| Email Address: |
No information will be released by us to any third party unless required by law.
Order Details
| Image Title - state size if not A3 | Quantity | Price |
| Sub-total: | ||
| Delivery (outside UK & Europe) - add £2 a print | Add: | |
| Plus non-£UK cheque conversion charge of £5 | Add: | |
| *Your signature: | Gross Total : |
Please use plain paper to extend order.