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DELIVERY ADDRESS: name: address: post code: telephone: fax: email:

official use only customer order no  ................................   date:___/___/___

DESCRIPTION	QUANTITY	PRICE	SUB TOTAL
cordvale rotary cover		£19.00	£19.00
		CARRIAGE	£5.00
		TOTAL	£24.00

Please make a cheque/postal order payable to  'cordvale limited' and post to: Cordvale Limited 138 Sutton Court Rd, Chiswick London W4 3HT Write your name and address on the back of the cheque and put your cheque guarantee card on the reverse PLEASE DO NOT SEND CASH We try to deliver within 14 days,however times may vary. company registration no. 3579789  vat registration no. 765015145