|
Kookaburra House, Gravel Hill Rd, Holt Pound, Farnham,Surrey, GU10 4LG or fax it to 01420 520722 with credit card details Date.................................. Name....................................................................... Address.............................................................................................................. ........................................................................................................................... ...................................................................Post Code....................................... Tel.................................................... Fax........................................................... email...................................................................................................................
Card Number...................................................Expiry Date..................... Valid from.......................Type of card..................................................... 3 digit security number:...................... Issue number: ..................
The card must be registered at the delivery address. If you need to have the goods delivered elsewhere, please contact the office
|