This is your receipt
This is not a tax invoice
Please print this page and keep it for your records. If you need to contact us, refer to the "Order Number" below. Your order has been recorded. Please fill in your credit card details below. Then take this page and fax, phone, or mail it to:
Schoolwear Department
Lester Bowden
The Old Spread Eagle
High Street
Epsom
Surrey
KT19 8DN
United Kingdom
Phone 01372 747475
Fax 01372 743410
Email:
uniform@lesterbowden.co.uk
URL:
www.lesterbowden.co.uk
Cardholders Address:
Deliver To:
Mr Bill
Campbell
Test
Test
Test
IV30 4EP
Phone: 01234 567890
Email: wjc@egyptianwonders.net
Mr Bill
Campbell
Test
Test
Test
IV30 4EP
Phone: 01234 567890
Email: wjc@egyptianwonders.net
Date:
19 December 2006
Order Number:
BL04EP20000054
Payment method:
Credit Card Details Sent Separately
Acceptable Credit Cards:
Mastercard, Visa, Switch / Maestro, Switch / Maestro - no Issue No, Visa Electron, American Express, Diners Club, Solo
<<< choose one
Credit Card Number:
______________________________________
Credit Card Issue Number:
_________
Last three digits on Signature Strip:
_________
Credit Card Start Date:
____________
Credit Card Expiration Date:
____________
Signature:
X______________________________________
Terms and Conditions:
Accepted
DESCRIPTION
QUANTITY
PRICE
COST
Blenheim Boys Blazer - Size: 29"
1
£41.50
£41.50
Subtotal
£41.50
Shipping (First Class Post)
£4.50
Total
£46.00