Unit 11, Kempton Gate Business Centre, Oldfield Road,
Hampton, Middlesex, TW12 2AF
t:0208 487 0011 e:sales@saversuk.com w:www.saversuk.com
Order Form
Date: ________________________
Name: ___________________________________________________
Address: _________________________________________________
__________________________________________________________
Postcode: _____________ Telephone:
_______________________
| Product Code | Description | Qty | Total Cost |
| Postage | FREE |
| Total |
Method of Payment
___ I enclose a cheque/postal order, made payable to Savers UK Ltd.
___ I authorise you to debit my credit card account
for the cost of the goods despatched.
Payment by Card
Card Type: Mastercard / Visa / Maestro (Delete as required)
| Credit Card Number |
Expiry Date: ___________
Name on Card: _____________________________
Maestro Issue Number (if present): ____ or Valid From Date (if not): ___________
If paying by credit/debit card, please be sure to give us a daytime telephone number so that we can call you to confirm the card security code (last 3 digits from signature strip).
Signature: _____________________________________