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| Address |
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| Post Code |
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| Telephone |
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| Code |
Description |
Colour |
Price |
Qty |
Value |
| 123 |
Example Only |
Blue |
£3.99 |
2 |
£7.98 |
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Postage |
£5.95 |
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| Payment
Details |
Cheque
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Credit
Card |
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Other (Please specify) |
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| (Please make cheque payable to Ripple Spas Ltd) |
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| Please
charge my card account |
| Visa |
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MasterCard |
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Switch |
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Delta |
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Issue No |
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| Please ensure that the
cardholders address is the same as above |
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| Signed: |
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Date: |
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Ripple
Spas Ltd, The Parade, Cradlebridge Drive, Willesborough, ASHFORD,
Kent TN24 0RN
Telephone:
01233 650055 Fax: 01233 650500 |
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