Order Form Please complete this form in BLOCK CAPITALS. Please ensure section 4 is completed as order forms will not be processed without payment details. 1 Invoice Address Name/Contact Organisation |
Tel (Daytime) Fax
| Email | 3 Your Order
Use or photocopy this order form. Copies also available to download at
www.lifesaverdirect.co.uk New order form enclosed with all orders.
Product Code Description Quantity | | Address {no PO Boxes} | | Postcode |
Tel (Daytime) Fax
| Email | Date PLEASE DATE | Unit Price Total | 2 Delivery Address (If delivery address is different from the invoice address) Name/Contact Organisation | | Address {no PO Boxes} | | Postcode |
Delivery Charges
When Calculating Delivery Charges: Step 1: Calculate Standard UK Delivery Charges (based on order value rates shown). Do NOT include the order value of items that have either Free Delivery or a Fixed Delivery Charge listed. Step 2: Add on any Fixed Delivery Charges. Step 3: Enter total in Delivery Charges box.
Standard UK Delivery Charges Order value up to £20 Order value up to £100 Order value over £100
(Per full £100 of order) Next Day Delivery Service
£3.95 £5.95 £7.50
£4.00 Surcharge on standard delivery rates. Order before 12noon. Orders placed after 12 noon Friday will be delivered the following Tuesday. All next day deliveries will need to be signed for. Next Day Deliveries can only be made to mainland Great Britain and Northern Ireland (excludes Scottish Highlands, Channel Islands And Republic Of Ireland).
Please call Customer Services for delivery charges outside the UK 4 Payment Options
Option 1 - Pay By Credit/ Debit Card I Wish To Pay By Credit/ Debit Card:
Visa Delta Signature IMPORTANT PLEASE SIGN | Option 2 - Pay By Cheque Or Postal/Order
I enclose a cheque/postal order for the total amount payable to RLSS UK Enterprises Ltd. If paying by cheque, please write your Customer Reference Number on reverse of cheque (if known).
We will not share your data with third parties. We will occassionally contact you about Lifesavers Direct products and offers. If you DO NOT wish to be contacted by us for marketing purposes, please tick to opt out POST EMAIL PHONE
LDC1401
Mastercard Maestro
If paying by credit card, invoice address above must match the cardholder’s address.
Orders are subject to Lifesavers Direct’s Terms and Conditions of Sale. For a full copy please see
www.lifesaversdirect.co.uk or call 0844 824 3440
Card Number Expiry Date Maestro Issue No.
Delivery Charges Sub Total
Next Day Delivery (£4.00)
Total
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