General Order Form

Name:
Address:
Date:	Phone No:

Quantity	Description		Price Each	Total Price
Credit/Debit Card Number Expiry Date Issue No. (Switch)		Sub Total
		Postage *		£3.00
		Final Total

* Please note that if you are paying by card or PayPal, the actual postage paid will be debited

If you are paying by credit/debit card please indicate your card number below and give the expiry date and the 3 figure security number from the reverse of the card.
If you are paying by Switch or Maestro please also supply the issue number and starting date

Please include payment with your order and post to:

Polymers Plus
PO Box 101
Christchurch
Dorset. BH23 7ES

If paying by Credit/Debit card the order form may be faxed or sent as an email attachment to:
sales@polymersplus.co.uk

The Credit/Debit card details may be telephoned or faxed to us for extra security.

Telephone Number +44-(0) 1202 470783 (24 hour ansaphone)
Fax Number +44-(0) 1202 470956