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Please (1) Fill form - click Recalculate for the totals (2) Print form - fill payment details in pen (3) Fax.
JIT (UK) LTD, 5 Longhey Road, Manchester, M22 8UA
Tel: 0161 902 0980 Fax: 0161 945 8169 Email: sales@BARCODE.CO.UK
FAX: 0161 945 8169
ORDER NUMBER:
DATE:
SHIP TO ADDRESS:
CONTACT: 
COMPANY: 
ADDRESS:
ADDRESS:
CITY:
POSTCODE:
TEL:
FAX:
EMAIL:
EMAIL DELIVERY:
JIT CODE
 DESCRIPTION
 PRICE
 QTY
 SUB-TOTAL
Delete items - set Qty to 0 and Recalculate.

(UK 8.50) SHIPPING  
0.00
TOTAL 
0.00
VAT (20%) 
0.00
GRAND TOTAL 
0.00
CREDIT CARD:
  VISA   Mastercard   Access   Switch   Amex
- - - -
SECURITY CODE:
(On signature strip / back of card)
EXPIRY DATE:
(MM/YY)
EXAMPLE:
SWITCH ISSUE:
(Switch cards only)
/
0 1 / 1 6
CARD HOLDER'S NAME:
CARD HOLDER'S SIGNATURE: