| PARKSIDE DUNDAS Injection Moulders and Toolmakers Model Railway Specialists MILLIE STREET KIRKCALDY FIFE SCOTLAND KY1 2NL Telephone and Fax: 01592 640896 |
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| Ordered by: Name |
ORDER |
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| Address | ||
| Post Code |
009 Society Member No. |
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| Tel. No. (Day if possible) | ||
| Code | Description | Quantity | Price | Total |
| Goods Total | ||||
| Post & Packing | £ 2.00 | |||
| Total Payable | ||||
| I enclose cheque/postal order
value £_______ made payable to PARKSIDE DUNDAS. I authorise you to debit my MASTERCARD, VISA, MAESTRO, AMERICAN EXPRESS, JCB, VISA ELECTRON or SOLO account for this order. Card Number:________________________________________ Expiry Date:___-___-____ Security code (last 3 or 4 numbers on signature strip):_________ MAESTRO or SOLO Cards Only; Issue Number or Issue Date:__________ Card Holders Signature:____________________________________ Date:__________ THANK YOU FOR YOUR ORDER (Web 2006) |