E.M.Computergraphic's UK/Europe FAX Order Form

E.M.Computergraphic, 8 Edith Road,Clacton, Essex. CO15 1JU,United Kingdom
Fax: +44 (0)1255 428666, Tel: +44 (0)1255 431389
Email:sales@emcomp.demon.co.uk

Name:______________________________Telephone: (_______)_____________________

Address:__________________________________________________________________

Town:__________________________County:____________________Postcode________

Date:_________________________________


Payment:______________________________Make Payable to:E.M.Computergraphic

National cheque in sterling enclosed for £______________

Switch and Delta UK debit cards or Access, Visa, Mastercard, Eurocard.

Card Number________________________________________EXP. DATE________

SIGNATURE_______________________________________

Email:________________________________

Quantity    Item #     Description             Price       TOTAL    

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Total Shipping Charges:___________________

Total Amount for Items: _____________________

TOTAL AMOUNT:____________________

Return USA/Canada/Mexico Orders. Return UK/Europe Orders.