MAIL/FAX ORDER FORM

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D.L. SPECIALIST TACKLE
12 Wilson Close, Tarleton, Preston, PR4 6DE, U.K.
Fax: 01772 - 812036
PAYMENT ACCEPTED BY
CHEQUE  POSTAL ORDER  VISA  MASTERCARD 
PLEASE TICK AS APPLICABLE
CHEQUES (UK ONLY) PAYABLE TO "D.L.SPECIALIST TACKLE" PLEASE
CUSTOMER DETAILS
NB: If ordering by credit or debit card this address must be that of the card holder.
 NAME:
 ADDRESS:
 
 
POST CODE: 
PHONE NO.: 
Visa/Mastercard (credit or debit card) number
(SORRY, SWITCH CARDS CANNOT BE ACCEPTED)
    

Visa/Master card expiry date
Month:Year:

Signature:
 

ORDER
ITEM
(Including pack size if applicable)		SIZECOLOURALT.
COLOUR		UNIT PRICEQTY
(Units)		 TOTAL
       
       
       
       
       
       
       
       
       
       
       
       
       
       
CARRIAGE £1.50
(£10.00 ON ALL U.K. ROD ORDERS, OVERSEAS CARRIAGE 10% ON SMALL ORDERS - RODS ETC. BY ARRANGEMENT, FREE ON OTHER ORDER TOTALS OVER £25)
 
OFFICE USE ONLY:TOTAL