Badgeworx @ LondonEmblem Plc., Unit 9 Apex Centre Speedfields Park, Newgate Lane, Fareham Hampshire, PO14 1TP VAT Reg No: GB 812 0562 69
ORDER FORM
Office use only Order No.:   Order Date:   Customer No.:
CUSTOMER DETAILS - Please complete Name:   Tel. No.:   E-Mail:   Invoice address:             Post code: Country: Delivery address:             Post code: Country:
ORDER DETAILS - Please complete Quantity Product Description Product Code Unit Price Order Value                                                               Sub Total   * Delivery Charge   V.A.T. @ 17.5%   TOTAL
PAYMENT - Please complete Payment type:  Cheque   Credit Card Card Type  Visa    Switch    Mastercard    Amex Card No.   Issue No. (Switch only)   Security No.   Start Date   Expiry Date   Card Holders Name
* Delivery Charge Within the UK: If the order contains a Badgeworx 25 or 55 product, delivery is FREE. Otherwise add £7.50. Within the EU: Please add £20.00 for delivery. For all other export orders please contact us. Please make cheques payable to 'London Emblem plc'