INFINITUM MODEL CAR ORDER FORM

NAME:

 

ADDRESS:

 

POSTCODE

TEL:

PAYMENT METHOD: (Tick appropriate)

Cheque:                                    Cash

(If paying by cheque, please write your name and address on the back of the cheque. All money must be paid up front at the point of the sale. Items will not be delivered unless the stated amount has been paid.

ITEM(S) ORDERED

COLOUR/DESIGN DESCRIPTION

QUANTITY

HONDA CIVC TYPE R

 

 

HONDA INTEGRA TYPE R

 

 

TOYOTA SUPRA

 

 

 

TOTAL POSTAGE AND PACKING (£4.00 per model car)

£

 (Each model car is £7.99)

TOTAL

£

 

CUSTOMER RECEIPT (Please do not write anything here)

ITEM(S) ORDERED

COLOUR/DESIGN

QUANTITY

HONDA CIVC TYPE R

 

 

HONDA INTEGRA TYPE R

 

 

TOYOTA SUPRA

 

 

 

POSTAGE AND PACKING (£4.00 per model car)

£

 

TOTAL

ALL ITEMS WILL BE DESPACHED WITHIN 7 DAYS OF CLEARING PAYMENT. 90% OF PROFITS MADE FROM SALES ARE INTENDED TO GO TO CANCER RESEARCH UK .

PLEASE PRINT OF THIS ORDER FORM AND RETURN IT WITH A FORM OF PAYMENT TO: 

Alpesh Patel, 68/70 Elizabeth Avenue, Little Chalfont, Bucks HP6 6QJ