Wholesale and Mail Order

1, Burrington Drive
Shobrooke, Devon, England EX17 1AU
Tel +44 (1363) 775766 Fax +44 (1363) 777992

ORDER FORM

This Form can be used to order any of our products either by:

Fax, Mail, E-mail , or Phone . Print a copy and Fax or attach a copy and E-mail , Mail or use for information necessary to call . Thank You

Date of Order _____/_____/____ Your Account No ( If Known )----------------

Your Last Name _______________________First Name __________________

Mailing Address____________________________________________________

__________________________________________________________________________

City____________________County_________________Post Code__________

Fax #_(_____)____________Daytime Phone _(______)______________

E-Mail ____________________________

Credit Cards_________VISA___________Mastercard (Circle)

Please write the Number clearly____/__/__/__/__/__/__/___/__/___/___/___/___/__/__/___/

Expiration Date _____/_____/____/____/

Name as it Appears on Card_________________________________

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

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Product code__________Quantity__________Price each__________total____

Please add £2.25 ( For UK ) if under £30, otherwise postage free___________

Total___________

Plus VAT @ 17.5%___________

Total Cost___________

If more Space is needed please feel free to attach additional sheets.

Orders or Can be Faxed 24 Hours Day+44 (0) 1363 777992

E-mail Can be Sent 24 hours a day to sales@bali-images.co.uk

Orders can be phoned 8am to 8pm +44 (0) 1363 775721

Mail Address :

Bali Images
The Beeches
Burrington Drive
Shobrooke
Crediton
EX17 1AU
UK

Pages maintained by Mike Collinson, Bali Images, 1, Burrington Drive, Shobrooke,
Devon, England EX17 1AU Tel +44 (0) 1363 775766 Fax +44 (0) 1363 777992
Comments and e-mail appreciated! Please send to info@bali-images.co.uk