Print and complete the form below, the fields marked '*' are mandatory. Send the completed form with your cheque/money order to:
SA International, Suite 45, 19-21 Crawford Street, London, W1H 1PJ England, UK
You may fax this form if you are paying by debit/credit card. Fax to: UK - 0870 321 7502
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| Order Code | *Quantity |
*Price of goods (Quantity x £15) |
*Postage/shipping (See table above) |
*Total cost of order |
| SSL50 | £ | £ | £ | £ |
| * I have read your "Order" and "Terms of business" pages on www.superskinlightener.com & agree to your terms. | |||||
| Please debit my credit/debit/charge card for the sum of £ | |||||
| I enclose a cheque/money order made payable to "SA International" for £ | |||||
| Billing information. (We accept Visa, Visa Purchasing, Visa Delta, Visa Electron, Mastercard, Switch, Solo, JCB and Amex.) | |||||
| * Title | *First Name | *Last name | |||
| * Address | |||||
| * Postcode | * Country | ||||
| Telephone | |||||
| Fax | Type of Card (e.g. Visa..) | ||||
| Card Number | 3/4 digit security code: | ||||
| Valid from: Month: Year: | Expiry date: Month: Year: | ||||
| Shipping/Delivery address (only complete if different to billing address) | |||||
| Address | |||||
| Postcode | Country | ||||
| I wish to receive notifications of special offers. Please add me to your mailing list/forum. | |||||
| How did you hear about us? | |||||
http://www.superskinlightener.com email: admin@superskinlightener.com