U.K. ORDER FORM 
U.K. ORDER FORM
This is not an on-line form: Please print and complete in block capitals. Orders may be mailed, faxed or telephoned to our 24 hour answering service - please leave all details requested below. We cannot accept card details by email Blue Horizon Medical Supplies P.O. Box 228, Hastings, East Sussex, TN34 1XF
24-hour Telephone & Fax: 01424 437480 (within U.K.) +44 1424 437480 (outside U.K.)
E-mail: bluehorizonmedicalsupplies@btinternet.com
Order Code |
Description |
Quantity |
Price per Item |
Total Value |
Weight per Item |
Total Weight |
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| P&P Calculator: Total order weight then check charge below. Please contact us if order is over 20kg or you are outside the U.K. | Total Goods: |
£ | Total Weight: |
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| Less100g...£1.18 Less250g...£1.51 Less500g...£2.01 | Less750g......£2.98 Less1kg....…£4.00 Less1.5kg.....£5.22 | Less2kg....…£5.93 Less 4kg.......£8.57 Less 6kg.…..£9.72 | Less8kg..£11.80 Less10kg.£12.67 Less20k...£14.76 | P & P: |
£ | Placing an order signifies your acceptance of our terms & conditions of sale. These are shown on our website or a current copy is available on request. | |||
Sub-tot: |
£ | ||||||||
| V.A.T. must be added to all orders for delivery within the U.K. or the E. U. (European Union). It is not necessary to add V.A.T. if delivery is to a country outside the E. U. Customers paying by debit card will have a charge of 50p added to any order for goods less than £10 | V.A.T. @ 17.5% (Multiply sub-total by 0.175): |
£ | |||||||
Grand Total: |
£ | ||||||||
Please supply the above items. I enclose cash/cheque/postal order to the value of £…………..…..OR charge this amount to my M'card Credit/M'card Debit/Visa Credit/Visa Debit/Maestro/Solo Card Number…......................………………….……...……….... Start Date...........Expiry Date……… Security No. (last 3 digits on signature strip)….........….. Issue No. (Maestro/Solo)……..… Name of Issuing Bank………………………………..……........(If paying by card we can only despatch to the cardholder address)
Cardholder Details: Name as shown on card………………………………………………………………………………………… Address………………………………………………………………………………………………………………………………….…. ………………………………………………………………………………………………………………………………………………….
Telephone No. (in case of query)…………………………….Signature…………………………………………...Date……………….
Deliver To: Name……………………………………………………....…………….……Tick here if you require a VAT invoice.... Address………………………………………………………………………………………………………………………………………….. …………………………………………………………………………………………………………………………………………………….