PRIDE OF NORTHUMBRIA ORDER FORM 2005

Please print out this order form, complete it and send with your payment to the address or number below:

Customer Name____________________________________________________________________________

Address:__________________________________________________________________________________

________________________________________________________________________________________

________________________________________________Postcode:_________________________________

Contact Telephone Number:___________________________________________________________________

Methods of Payment:    CHEQUE     CARD please tick

Please make cheques payable to Pride of Northumbria

Card type: VISA MASTERCARD SWITCH OTHER type if other: _____________________________________

Card number:__________________________________ Expiry date: ________ Start date: ________

Issue Number: _____________ Security Code: ____________

To order your products from simply choose the method that you find the most convenient:

BY FAX: Simply click on 'Print' and fill out your order by hand, stating quantities amounts etc. Then fax it to us on 01670 818246. Send credit card details on the fax.

BY POST: Simply click on 'Print' and fill out your order by hand, stating quantities amounts etc. Then post it to us at Pride of Northumbria, 8 Argyle Terrace, Newbiggin by the Sea, Northumberland NE64 6PR, along with a cheque for the full order amount.

BY PHONE: Telephone your order direct, or discuss your order and delivery details with us on 01670 818246

BY EMAIL: You can conveniently send a request by email to orders@prideofnorthumbria.com. Please do not send us credit card details by this method, as you risk disclosing your details to an unauthorised third party.