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BARCODE.CO.UK
JIT (UK) LTD, 5 Longhey Road, Manchester, M22 8UA
Tel: 0161 902 0980 Fax: 0161 945 8169 Email: sales@BARCODE.CO.UK

FAX: 0161 945 8169
ORDER NUMBER: DATE:

SHIP TO ADDRESS:
CONTACT:  COMPANY: 
ADDRESS: ADDRESS:
CITY: POSTCODE:
TEL: FAX:
EMAIL: EMAIL DELIVERY:
JIT CODE  DESCRIPTION  PRICE  QTY  SUB-TOTAL

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(UK £8.50) SHIPPING   £

 8.50

TOTAL  £

 8.50

VAT (17.5%)  £

 1.49

GRAND TOTAL  £

 9.99
CREDIT CARD:  VISA   Mastercard   Access   Switch   Amex
        -         -         -         -        

SECURITY CODE:
(On signature strip / back of card)

EXPIRY DATE:
(MM/YYYY)

EXAMPLE:

SWITCH ISSUE:
(Switch cards only)
         
    /        
0 6 / 2 0 0 5
       

CARD HOLDER'S NAME:

CARD HOLDER'S SIGNATURE: