SRG Phoenix Coaches                                 Order Form (CKT 14/06/08)

Name: .......................................................................

Address: ....................................................................
         
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Town/County: ................................................................

PostCode:  ........................   Date: .................................

Tel No. and/or email address: ............................................... 
           (So that we may contact you if there is a problem with this order) 
 
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: Quantity : SRG Product : Description                      :  Unit : Total :
:          :    Code     :                                  : Price :       :
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: Please note that we are unable to accept orders for Phoenix coach kits    :
: at the present time (see Special Announcements page)                      :
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: Goods Total Value                                         :       :       :
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: Less Members' Discount @ 10% of Goods Total Value (if applicable) :       :
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: Add Postage and Packing as stated below                           :       :
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Please make cheques payable to 'SRG Phoenix Coaches', Total :       :       :
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Post & Packing: UK Orders, please add £3-00 P&P.  Customers outside the UK
please add £5-00 (but we reserve the right to charge more if this amount 
should prove insufficient).  On small orders, we may make a discretionary 
refund if the P&P is less than £3-00/£5-00 (UK/Overseas respectively). 

Please give your SRG membership number ............ if you are claming the 
10% membership discount. Payment may also be made by Visa/Mastercard/Switch
/Solo/Delta/Amex. If you wish to use this method please supply the following:

Card Number..........................................  Expiry date...........

Start date (Switch/Solo/Delta).............  Issue No* (Switch/Solo).........

Security Code* (last three figures on back of card)..........................

*If applicable.    
                   Signature (essential)  ...................................

Post to: Chris Knowles-Thomas (PX), 60 Dykes End, Collingham, NEWARK, Notts.
NG23 7LD (Great Britain) or phone 01636-892010. Queries may be emailed to 
chriskthomas@waitrose.com (but NOT recommended for sending card details).