Direct Sales of Fibre-Lyte Products....Please print out / save this frame then post or fax it to us direct or use it as an aid when ringing (for addresses etc. see the contacts page). To download this as a Word (2) document click here. We accept visa, mastercard and UK bank cheques without prior arrangement. For motorcycle parts sales see the motorcycle parts retailers page. |
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| Name: Mail Address: (must be the billing address of any credit card used) |
Email Address: Phone Number: Fax Number: |
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| Part Description | Part Number | No. required | Unit Cost | Item Cost |
| 1. | . | @ |
£ | £ |
| 2. | . | @ |
£ | £ |
| 3. | . | @ |
£ | £ |
| 4. | . | @ |
£ | £ |
| 5. | . | @ |
£ | £ |
| SubTOTAL |
£ | |||
| All the prices include UK rate sales tax (VAT) at 15 %, outside European Community deduct this. | £ | |||
Delivery
|
- £ | |||
| TOTAL= |
£ | |||
| Method of Payment Cheque (UK only) / credit card | Name as on Cheque or Credit Card |
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| Card Number Type of Card |
Valid From Expires |
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