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| Product No. _______________________ | Description_________________________ |
| Price of item:£______________________ | See Item Price List by Clicking Here |
| Price of Delivery:£___________________ | See Delivery Price List by Clicking Here |
| Total:£____________________________ | |
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Deliver To: |
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| Name______________________________________ | Tele:__________________________ |
| Address_______________________________________________________________________ | |
| City_______________________________________
Post Code____________________________ |
County____________________________
E-mail Address_____________________ |
|
Bill To: (if different than deliver to) |
|
| Name______________________________________ | Tele:__________________________ |
| Address_______________________________________________________________________ | |
| City_______________________________________
Post Code____________________________ |
County____________________________
E-mail Address_____________________ |
|
|
Circle form of payment Certified/Cashiers Check Money Order Personal Check Postal order |
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Comments or special requests:______________________________________________________
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Print this form, fill out and send with payment to:
Access Appraisals Ltd.
The White Cottage,
Stourton,
Shipston on Stour,
Warwickhire.
CV365HG
tel: 01608 685039
or E-Mail to
orders@wheelchair-ramps.co.uk