General Order Form

Name:
Address:
Date:	Phone No:

Quantity	Description		Price Each	Total Price
Credit/Debit Card Number Expiry Date 3 Digit Security No.       Issue No. (Switch)		Sub Total
		Postage & Packaging		£5.50
		Final Total

If you are paying by credit/debit card please indicate your card number, card holders name and give the expiry date and the 3 figure security number from the reverse of the card.
If you are paying by Switch or Maestro please also supply the issue number and starting date

Please include payment with your order and post to:

Polymers Plus
14 Benson Road
Nuffield Trading Estate
Poole, Dorset.
BH17 0GB

If paying by cheque please make payable to "Polymers Plus" and send to the above address

If paying by Credit/Debit card the order form may be faxed to 01202 679182 or sent as an email attachment to: sales@polymersplus.co.uk

The Credit/Debit card details may be telephoned or faxed to us for extra security.

Telephone Number +44-(0) 1202 679182 (Weekdays)
Telephone Number +44-(0) 1202 665495 (Saturdays)