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Order Reference Code
Order Form
Please enter the code printed in the yellow circle
on the back page of this catalogue. Thank you!
To place your order over the phone simply call 0870 420 3000. Please
see opposite page for our Contact Centre opening times. Alternatively, you
Your Personal Customer Number Please complete if known
can complete your order details below and order by post or fax (0870 112
3607). Secure online ordering is also available at www.robinsons-uk.com 0000
Customer details
please use BLOCK CAPITALS
Delivery details (if different from Customer Details)
MR/MRS/MISS/Ms (delete as appropriate) INITIALS .................. MR/MRS/MISS/Ms (delete as appropriate) INITIALS ..................
SURNAME .................................................................................... SURNAME ....................................................................................
...................................................................................................... ......................................................................................................
ADDRESS .................................................................................... ADDRESS ....................................................................................
...................................................................................................... ......................................................................................................
...................................................................................................... ......................................................................................................
...................................................................................................... ......................................................................................................
....................................................... POSTCODE ........................ ....................................................... POSTCODE ........................
Daytime Tel No (...................) .................................................... Daytime Tel No (...................) ....................................................
Fax No/Email ...................................................................................... Fax No/Email ..........................................................................
2nd
Code Page Item Description of Goods Colour Col. Size Qty
Unit
Total Price
Option Price
1 6 410 6 8 JOULES SLIPPER SOCKS example RUBY - SML 1 £17.00 £17.00
Sub-Total £ :
Overseas orders Postage
Post + Pack
£ :
We recommend that you use our
Delivery Services
website www.robinsons-uk.com or Total £ :
alternatively fax your order details to
Standard.......................................£4.95
us. If you would like to talk to our Express ........................................£9.95
How would you describe yourself?
Export Department then simply call us
Heavy Duty Items.........................£12.00 A dog owner A horse
on +44 870 112 3626
& dog
Mon-Fri 8.30am to 5pm GMT.
£12
P&P
A horse owner
owner
for your
whole order
Method of payment
We will only charge your card for the items that we are able to
Prices valid until
send you, at the time your order is being processed.
January 2009
®
Your Payment Card Details: Please charge my card account.
Maestro Issue No............................. Start Date...................................... Expiry Date......................................
Cardholder’s Signature.............................................................................
Card Security Number (This number is usually the last three digits on the reverse of your card)
Robinsons Country Leisure, P.O. Box 510, Wigan, WN1 9AG
From time to time, we may release your name and address to other companies whose products we feel will interest you.
If you do not wish to receive this information, please tick this box.
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