14 Harebeating Crescent,
Hailsham,
East Sussex,
BN27 1JH
Phone : 07956 391354
(Mon - Fri Office hours only)
PAYMENT FORM
If you have a Customer Ref: Code Why not Email or Phone your order.
   --    Phone : 07956 391354 (Mon - Fri office hours only)

To order using your credit card (subject to a £5 minimum), please fill in the form below and for future orders you will receive a customer reference code + for easy re-ordering.
I will debit your card and send your order & receipt by return post. If paying by cheque / PO's or stamps please fill in the amount enclosed below.

CREDIT & DEBIT CARD PAYMENTS


CARD TYPE  :  VISA CARD / MASTER CARD / other ..................................................
 
 		  
 		  
 		  
 
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START  DATE : ......../........    EXPIRY DATE ......../........    ISSUE No. ...........      SECURITY No. ..................

(The security code is the last 3 numbers on or
above signature strip on the rear of the card)

CARD HOLDERS NAME : ..............................................................................

Please Debit my card for the amount shown below*

* I will only take the amount of each envolpe / parcel at the time of sending, not the order total if items are not ready or out of stock.

Date Sent ............................

Signature .....................................................................


Name ........................................................................................................

ORDER TOTAL  

 


Adress .......................................................................................................

POSTAGE TOTAL  
see below   


....................................................................................................................

P & P : £2.00 for the first model & then 
£1.00 for each additional model.

....................................................................................................................

* TOTAL TO DEBIT  
FROM CARD  


....................................................................................................................

** TOTAL BY CHEQUE /  
PO's or STAMPS  



Post Code .................................................

* Minimum credit card transaction £5:00
** Minimum Cheque £2:50 less in stamps please.


Telephone ...........................................................................

A phone number helps if I have any problems
with your order or the card validation process.


email ...............................................................................................................................
+ All credit card numbers & details remain confidential under the consumer protection act.

Don't forget to enclose your payment and order form if posting this.
Send orders to -

L.B.R.T.
14 HAREBEATING CRESCENT,
HAILSHAM,
EAST SUSSEX,
BN27 1JH