JTSMA Merchandise

Printable Order Form

Print out this form and fill it in in pen and post it with a cheque or credit card details, or phone or fax it with your credit card details to the address below.

JTSMA Elta House Birmingham Road Stratford upon Avon Warwickshire, CV37 0AQ.

Tel: 01789 267520

Fax: 01789 268371

Home / Card-holder's Details

Name:

Address:

Post code:

Daytime Tel. No:

Home Tel. No:

PAYMENT METHOD

Visa / Mastercard / Switch / Delta* Card No.: (*Delete as appropriate)
Valid from : . . . / . . . Expiry Date : . . . / . . .
Issue Number : . . . . (Switch only)
Card Holder's Signature :

OR

I enclose a Sterling cheque / PO to the value of:
Ł __________
Please make cheques payable to "JTSMA", with
your address and cheque card number on the back.

Date of Order :

Delivery Details (if different from above)

Name:

Address:

Post code:

Daytime Tel. No:

Please Supply:

Item Qty Price

TOTALS:

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