• Phone & Fax
• Post
• Email
• Links
|
|
|
|
|
|
Order - By Fax +44 (0)870 922 0322 Please print this page and include the following information so we can charge your credit/debit card (Only Visa, Master Card, Discover, or American Express). Name ................................................................... (exactly as it appears on card). Please print name in black. Underline or encircle the type of card: VISA - | - MASTERCARD - | - DISCOVER - | - AMEX Please mark, circle or underline your option very clearly: ELICINA CREAM £29.50 ELICINA AFTERSHAVE BALM £29.50 Postage & Packaging is FREE Total to be charged: £ __________ Card Number.................................................................... Issue Date..................................................................... Exp Date....................................................................... Verification Number (last three digits on signature strip at the back of the card): ........................................................................ Card Holders Address........................................................... .................................................................................... County......................................................................... Postal Code.................................................................... Country........................................................................ Tel No:........................................................................ Email:......................................................................... Please sign to confirm your instructions for us to charge the above card with the above Signature...................................................................... Now fax this printed page and your details to: +44 (0)870 922 0322 |