Spectrawax Lighting Printable Order Form
Fill out and return this form to:
Spectrawax Lighting, Unit One, Southpark, Peebles, Scotland EH45 9ED
Fax. 01721 729383 Phone:01721 723033
First Name ____________________ Last Name _____________________
Address ______________________________________________________
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City ____________________________
Postal Code __________________ Country __________________________
Daytime Phone (___)________________ Email _________________________
How did you find out about us? [_] Online [_] Magazine [_] Shops
[_] Other _____________________________
Name of Lampshade/Style
Number Cost
£/$/e
Delete currencies
not applicable
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Subtotal £/$/e______.___
VAT and Carriage Inclusive £/$/e______.___
Total £/$/e______.___
Make checks payable to: Spectrawax Lighting
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