Computer Club Members Only
Anglox - Mail Order Form
Please print this form, complete and send to:
Anglox (Dept. ASAPS), 182 Sturminster Road, Stockwood, Bristol, BS14 8AR
| Name: | Mr/Mrs/Ms | |||
| Address: | ||||
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Post Code: |
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| Comp Club Name: | ||||
| Email: |
Telephone: (Optional) |
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Code No. |
Title/Description |
Price £ |
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Less 10% Computer Club Member Discount |
Sub Total |
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Postage & Packing |
UK add £2.50 (regardless of order size) |
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Total |
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I am a new customer and include my choice of FREE Jewel Case software o
I enclose my cheque/Postal Order made payable to Anglox o I wish to pay by credit/debit card o
| Card No: |
| Valid From: | Expiry Date: | Switch/Solo Issue No: | *Security Code: |
* The security code is the last 3 digits of the security number on the reverse of your card
| Card Holder's Name: | |||
| Signature: |
Date: |
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I would like to subscribe to the FREE ASAPS Newsletter and have included my email address o
In the event that an item is out of stock, we will notify you as soon as possible. You will be offered the options of a refund, an alternative item or a credit against future purchases. Your statutory rights are not affected.
Thank You For Your Order
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