Welcome to the Bali Images Importers and Wholesalers ORDER FORM page

This Form can be used to order any of our products either by Fax, Mail, E-mail, or telephone.
Please print a copy and fax, post, attach a copy and E-mail, or telephone directly to us.

Date of Order _____/_____/____ Is this your first order from us? Yes / No (please indicate)

If not your first order please quote your customer reference number if known ______________

Trading Name_________________________________________________________________

Your Last Name _________________________________First Name ____________________

Mailing Address_______________________________________________________________

____________________________________________________________________________

City____________________County_______________________Post Code________________

Fax_(_____)____________________Daytime Phone (______)___________________________

E-Mail _______________________ Credit Cards : VISA___Mastercard ____Switch________

Please write the number clearly____/__/__/__/__/__/__/___/__/___/___/___/___/__/__/___/

Expiration Date _______/20______ Issue Number and issue date if Switch______________

Name as it Appears on Card_________________________________

Our Fax Is Secure and your Credit Card Information is Safe !

Please Add UK Delivery________________________________________________£4.00

Total___________ Plus VAT @ 17.5%___________ Total Cost_____________£______

If more space is needed please attach additional sheets.
Orders may be Faxed 24 Hours Day to +44 (0) 1363 777992
E-mail may be Sent 24 hours a day to sales@bali-images.co.uk
Orders may be phoned 8am to 5pm +44 (0) 1363 775766

Mail Address : Bali Images, Marsh Road, Lords Meadow Industrial Estate
Crediton, Devon, England EX17 1EU