RH DESIGNS ORDER FORM

FAX TO: (Intl) +44 1969 667776 (UK) 01969 667776   or

POST (MAIL) TO: RH Designs, Mill Fosse House,

Hawes, North Yorkshire DL8 3QF, England

Your name:______________________________________________________

Your adress: ___________________________________________________

________________________________________________________________

________________________________________________________________

______________________________ Postcode:________________________

Country:________________________________________________________

Telephone:_________________________ Fax:________________________

E-mail address(We will confirm receipt of your order by e-mail):

________________________________________________________________

Item  Description                                        Price  

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                                                Total : ________

Please debit my Visa / Mastercard / Switch / Delta / Solo / JCB

Card number: ___________________________________________________

Expiry date: ________________ Issue no (Switch only): __________

CVC code (last 3 digits on the signature strip): _______________

Signature:_______________________________ Date: ________________

VAT reg. number (EC only) if applicable ________________________

How did you hear about RH Designs?______________________________