David Morbey Timpani & Percussion
CUSTOMER ORDER - Web site form
Date:
Name:
Address:

 

Telephone:
Fax:
email:
Qty Model Shaft diameter Special requirements Price Total
. . . . .  
Please specify your chosen currency .
Sub Total  
Add Mailing .
Sub Total .
Order Total .
Payment method:
Cheque: If mailing please enclose your Cheque or International Money Order
International Money Order
Direct to our bank (details upon request)
VISA
Mastercard
Card Number:
Card expiry date:    
Card security number (last 3 digits on signature strip)    
Cardholder name and billing address:

 
Cardholder signature:

Please fax this form to David Morbey Timpani & Percussion  01284 830500  (International: +44 1284 830500)
or mail to:  Old Mill House,  Shimpling Road,  Hartest,  Bury St.Edmunds,  Suffolk,  IP29 4ET,   United Kingdom