Hillbillys Order Form









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Description Part # Item price Tot
       
       
       
       
Post & Packing depending on weight & destination. Minimum £2.50      
Total      

You can pay by Access/Visa/Amex/Switch/Delta etc. Or by cheque.
Card type ______________

Card No ______________________________________________

Valid From _________ Exp. Date __________ Issue ____________

Name On Card __________________________________________

Your Address ____________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

Tel No (in case of any probs.)________________________________

Email address:____________________________________________

 

Fax completed form to Hillbillys 01492 535870 or call 01492 535755