--  FAX MESSAGE  --  FAX MESSAGE  --  FAX MESSAGE  --  FAX MESSAGE  --

TO: COVER UP, P.O.Box 40, Nuneaton, Warwickshire, CV10 OXB, UK

FAX NUMBER: Within UK: 024 7639 8833   From outside UK: +44 24 7639 8833


				ORDER FORM
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Your Details Go Here

Name:  
Address : 
Town:
City :
Country :
ZIP or postal code:
Phone daytime :
Phone other times :
email address :

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Goods Required Go Here

Ref 		Description of goods	Size	Qty 	Price 	Weight 

X08	This is an example of how to	  8	2	£9.00	4kg
Y04	fill in this form. Delete this	 Med	1	£7.00	1kg
Z05	text. Generated in Notepad.	  11	2	£8.00	2kg

					Carriage 	£8.50	7kg
					Sub-Total      £32.50
	
		UK & EC residents add 17.5% VAT   	£5.69

						TOTAL  £38.19

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Credit Card Details Go Here

I wish to pay by:- Mastercard/Visa/Delta/Switch/Solo//JCB
 Please charge to my account.

My card number is:- 
Expiry Date:-
Issue Number (Switch/Solo cards only):
Billing Address (where
 you receive statements):-

Name (As on card):-

Signature  . . . . . . . . . . . . . . . . . . . . . . . . 

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THE REMAINDER OF THIS DOCUMENT CAN BE DELETED


 This form has been arranged so that it can be edited on any
wordprocesser,  then be either faxed or posted, thus keeping 
all credit card details secure.

Please make cheques, etc. payable to: COVER-UP  

Please allow 10 working days from receipt of order for delivery.
International: 15 working days.
If paying by Credit Card or Debit Card, your order may alternatively
be telephoned:-
Phone: 024 7639 8809.  Outside the UK  Phone: ++44 24 7639 8809 	

 
SIZES

Note that all sizes quoted are in British units which may differ
from those in your country. Please check with the conversion
chart to avoid disappointment.  


E-mail address:  dave@coverup.co.uk

Site address:    http://www.coverup.co.uk 


Cover Up, July 2003