David Morbey Timpani & Percussion | |||||
CUSTOMER ORDER
Mail/Fax form April 2018 Printed from www.timpanisticks.com with consent for our Privacy Policy. |
|||||
Date: Name: Address:
Telephone: |
|||||
Qty | Model | Shaft diameter | Special requirements | Price | Total |
. | . | . | . | . | |
Please specify your chosen currency: Sub Total | |||||
Add Mailing | . | ||||
Sub Total | . | ||||
Order Total | . |
Payment details: | |||||||||||||||||||
Cheque | |||||||||||||||||||
Direct to our bank | ![]() |
(details upon request) | |||||||||||||||||
VISA CREDIT | ![]() |
VISA DEBIT | ![]() |
VISA ELECTRON | ![]() |
||||||||||||||
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
01224 212557 (International: +44 1224 212557)
or mail to: 55 Braemar Place, Aberdeen, AB10 6EQ, Scotland,
United Kingdom.
April 2018