JIT (UK) LTD, 5 LONGHEY RD, MANCHESTER, M22 8UA, UNITED KINGDOM
Tel: 0870 741 2839 Fax: 0870 741 2840 Email: help
barcode.co.uk FAX: 0870 741 2840
| Please (1) Print this form. (2) Use a pen to fill the form - PRINT CLEAR CAPITALS. (3) Fax the form. Thank you. |
| BARCODE.CO.UK JIT (UK) LTD, 5 LONGHEY RD, MANCHESTER, M22 8UA, UNITED KINGDOM Tel: 0870 741 2839 Fax: 0870 741 2840 Email: help barcode.co.uk |
FAX: 0870 741 2840 |
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| EMAIL: | FOR EMAIL DELIVERY: [ ] YES [ ] NO |
| JIT CODE / MANUFACTURERS PART NO. / DESCRIPTION | PRICE | QTY | SUB-TOTAL |
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(£8.50 next day) SHIPPING £ |
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VAT (17.5%) £ |
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TOTAL £ |
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| CREDIT CARD NUMBER: [ ] VISA [ ] MASTERCARD [ ] ACCESS [ ] SWITCH [ ] AMERICAN EXPRESS | |||||||||||||||||||||||||
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EXPIRY DATE: |
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LAST 3 (OR 4) DIGITS OF SECURITY CODE: Printed on the back of your card / usually printed on the signature strip |
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SWITCH ISSUE NUMBER: |
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CARD HOLDER'S NAME: |
CARD HOLDER'S SIGNATURE: |
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