Offline Ordering Form for Lifetime Samplers

 Click on 'buy goods' buttons to automatically add goods to this order form,
then print out form, complete and Post or Fax to
Red Lion Cottage, 9 Vicarage Lane, Ruddington, Nottingham,
NG11 6HB, United Kingdom.
Phone/fax to 0115 940 6968 within UK  - +44 115 940 6968 Outside UK
Email: - info@lifetimesamplers.co.uk

Name:______________________________________

Address:____________________________________________________________________________

___________________________________________________________________________________

Country:________________________   Post / Zip Code:_____________________________________

Telephone:_________________________________  Email:___________________________________

Payment
All prices are in UK Pounds Sterling. (no extra tax charges apply)
Payment to be made by Cheques or Postal Orders, payable to Lauren Turner in UK Pounds Sterling.

Paying by credit / debit card. Enter card number:  _________   _________   _________   ________

Security Code (Last 3 digits on back of card):  _________ 

Issue date:  _________   Expiry date:  _________   Issue number:  _____

Your order

Postage & Packaging:  ( see below )
Amount Payable:

(Please allow 28 days from receipt of order)