Page 18 - ReCover March 2015
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ercol
order form reCover
Your Address
Name:
Address:
Postcode:
Tel. Number:
Email:
Delivery address (if different) Retailer’s Details
Item Scatter Extra Scatters Interior
Number Qty Description Fabric Seam Fabric and Fabric Selection Code Suffixs’ Price
P&P Free in UK mainland
TOTAL
Your payment method
By cheque, payable to Ercol Furniture Ltd c By Credit/Switch Card c Mastercard c Visa c Switch c Issue No. c
Card No. cccc cccc cccc cccc Expiry Date cccc Security No. ccc
Cardholders signature: Date:
Ercol Furniture Ltd, Summerleys Road, Princes Risborough, Bucks. HP27 9PX Tel. 01844 271800 Fax. 01844 271888 recover@ercol.com
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