|
Order
form for cheque payments only.
To pay by Credit/Debit
card, please telephone your order to:
01254 243727
Please complete and print the Order form, then
post it to the address below together with your cheque made payable
to:
43, Bradyll Court,
Brockhall Village,
Old Langho,
Blackburn,
Lancashire,
BB6 8AS
United Kingdom
Where did you see our Advertisement ?
|
Title
Full name
Address 1
Address 2
Address 3
Address 4
Address 5
Postcode
Telephone
Gyms required
£169 per gym
£
Cases required £20 per case £
Powerpads required £10 per pair £
Postage &
Packaging costs (See
tariff)
£
Total Cost
£
Date of Order
|
