MP Commercial Ltd - Golden Cross House, 456-458 Strand, London WC2R 0DZ, UK
Fax 44-20-7681-3377
Print this form and use it for reference when placing your order by mail or FAX
it to us.
| (A)
Ship To: (name and address) Fed Ex, DHL and UPS can not ship to Post Office Boxes or apo addresses |
(B) Bill To:
(please fill in bill to information if this differs from your shipping address) |
| Name: _____________________________ | Name: ________________________________ |
| Address: ___________________________ | Address: _______________________________ |
| Address: ___________________________ | Address: _______________________________ |
| City: ____________ State: __________ Province:______ Zip: _______ Country: ______ |
City: ___________ State: _________ Province:________ Zip: ________ Country: ________ |
| Telephone: ______________________ | Daytime Telephone: ______________ |
| Email (if any): ____________________ | Email (if any): ____________________ |
| Above information must match your issuing banks records when using a credit card. |
(C) List of Items:
| Item #: | Item Name: | Quantity: | Size (if applicable) | Price per Item: | Total: |
| Subtotal £ |
(D) Totals & Shipping:
| Carrier | Delivery Time | Order Amount | UK (for packages up to 1 lbs) | Europe (for packages up to 1 lbs) | Other International Orders (for packages up to 1 lbs) |
| First Class Recorded Signed for (tracking through http://www.royalmail.com) | 5 - 10 Business days | 0 to £70.00 | £3.50 | £6.60 | £8.60 |
| £70.00 to £250.00 | FREE | £7.90 | £9.90 | ||
| £250.0 and up | FREE | £10.90 | £12.90 | ||
|
Expedited Delivery (tracking through http://www.fedex.com , http://www.dhl.com or http://www.ups.com/) |
2-3 Business days |
0 to £149.99 | £7.90 | £11.90 | £12.90 |
| £150.00 to £499.99 | £10.90 | £15.90 | £16.90 | ||
| £500 and up | £12.90 | £17.90 | £18.90 |
| Merchandise Total: £ | |
| (Our minimum order is £ 10.00, not including the cost of shipping.) | |
| Shipping (choose one) | |
| First Class Recorded Signed For: __________ | |
| Expedited Deliveryl: _________ | |
| TOTAL: £ |
(E) Method
of Payment:
___ Money Order (payable to "MP Commercial Ltd")
___ American Express _____ Mastercard ____ Visa ____Discover ____ Diners
______ Carte Blanche
_____Diners ______JCB
Credit card # __________________________ & exp.
date (Month-Year): ____________ CVV: ____________
Telephone number found on back of credit card__________________________
I agree to pay the above total amount according to card issuer agreement X_________________________Date_______