Photocopy this form to make ordering simple this time & every time!
PRIORITY ORDER FORM YOUR DETAILS
ACCOUNT NUMBER NAME ADDRESS YOUR ORDER REFERENCE BUSINESS NAME
RETURN FORMS TO:
Cooksongold 59-83 Vittoria Street, Birmingham, B1 3NZ
Tel: 0345 100 1122 Fax: 0121 212 6456
CITY COUNTY TELEPHONE NUMBER E-MAIL ADDRESS SIGNATURE DATE
POSTCODE COUNTRY FAX NUMBER
IF YOUR ORDER IS TO BE COLLECTED FROM THE COUNTER PLEASE TICK ONE OF THESE BOXES: DESPATCH METHOD: ADDRESS IF DIFFERENT: NEXT DAY SPECIAL DELIVERY
BIRMINGHAM FIRST CLASS
HATTON GARDEN COURIER
* ALL HAZARDOUS MATERIALS MUST BE DELIVERED BY COURIER
YOUR ORDER If you have placed your order by fax, please do not follow your order with a posted copy CODE METAL & COLOUR DESCRIPTION QUANTITY
988
Please note: All orders will be supplied to you on our standard terms and conditions of trade as published. Copy available on request. A monthly interest charge will be charged on all overdue accounts. VAT registration no: GB161 8062 21. Registered in England no. 2775187
