| Pictures/Tootsie's |
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14 Milestone Way Precinct, Emmer Green, Reading, Berkshire, RG4 8XW
Tel: (0118) 946 1070 Order Form VAT Reg. No. 363 1978 32 |
| Please print off this form (File > Print) and use it to place your postal order. When you have finished, you may return to our Tootsie's page by using your 'Back' button (or View > Go To > Back). |
| Customer Information -
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Delivery Information -
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| Name :
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Name :
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Address :
| Address :
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| Phone no. :
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Delivery phone no. :
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| Delivery date : |
| Order - |
| Quantity | Description | Unit price | Amount |
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| Total due |
| Payment Method - |
| We are happy to accept payment either by cheque, Switch or credit card. Please make cheques payable to "Pictures/Tootsie's"; for Switch, please give the |
| Card no. | Issue no. |
| Start date | / | Expiry date | / |
| and for credit cards, please give the |
| Card no. | Expiry date | / |
| Signature : | Date : |