INFINITUM 24ct GOLD APPLE iPOD 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/SIZE

QUANTITY

24ct Gold Plated Apple iPod Nano

 

 

24ct Gold Plated Apple iPod Video

 

 

Other

 

 

 

TOTAL POSTAGE AND PACKING [£7.64 per iPod (Special Delivery)]

£

 (E-Mail for the latest prices)

TOTAL

£

 

CUSTOMER RECEIPT (Please do not write anything here)

ITEM(S) ORDERED

COLOUR/SIZE

QUANTITY

24ct Gold Apple iPod Nano

 

 

24ct Gold Apple iPod Video

 

 

Other

 

 

 

TOTAL POSTAGE AND PACKING [£7.64 per iPod (Special Delivery)]

£

 

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