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NOTE: All Prices quoted in GBP (UK Pound Sterling)
Prices include VAT, Postage and Packaging
You can email the Order Form to
BUT! Credit Card info must be FAXED
Abbreviations:
Motif: C=Celt, DC=Dragon Crest, DM=Dragon Maze
Colour: Ch=Charcoal, Bl=Black, La=Lagoon, Pu=Purple,
SpB=Speckled Blue, SpG=Speckled Grey, Cl=Claret
Sizes: S=Small, M=Medium, L=Large, XL=Extra Large
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O R D E R F O R M
TO: MOUNTAIN
23 Manor Road, Bladon OX20 1RU, England
Fax: +44 - (0)1993 - 813 686
PLEASE SEND THE FOLLOWING ITEMS TO:
Surname: ______________________ First Name: _____________ Title: ______
Address: ______________________________________________________________
City: _______________________ Country: __________ PO/Zip Code: ________
Email: ________________________________________________________________
________________________________________________________________________
| Item | Motif | | Colour | | Size | Price|Quant| Amount |
| Hooded Tops |C|DC|DM| |Ch| |S|M|L|XL| 22.95| | |
| Baggy Trng Shorts |C| |Ch| |S|M|L|XL| 16.95| | |
| Baggy Tees w Vents |C|DC|DM| |Bl|La|Pu| |S|M|L|XL| 15.95| | |
| Long-sl Baggy T's |C|DC|DM| |Bl|La|Pu| |S|M|L|XL| 17.95| | |
| Vest with Vents |C|DC|DM| |Bl|La|Pu| |S|M|L|XL| 12.95| | |
| Baggy Pants |SpB |SpG| |S|M|L|XL| 24.95| | |
| Surf Hooded Top |C|DC|DM| |Cl| |S|M|L|XL| 18.95| | |
| Surf Baggy Tees |C|DC|DM| |Cl| |S|M|L|XL| 15.95| | |
| Surf Vest |C|DC|DM| |Cl| |S|M|L|XL| 14.95| | |
| Outdoor Pants | 19.95| | |
| Climbing Tights | 18.95| | |
| Mega-Grip (50ml, Squeeze-bottle) | 2.95| | |
| Goolies (Chalk Balls) Small (minimum order: 4) | 1.95| | |
| Large (minimum order: 2) | 2.95| | |
| Koola Belay-Device | 10.95| | |
| Pump-Out Putty [Firm][Medium][Medium/Soft][Soft] | 4.95| | |
| Sexy Chalk Bags (Embroidered with Celt-motif) | 9.95| | |
| Rope Bags | 19.95| | |
| |
SUB-TOTAL |________|
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| Delivery Fee (W-Europe: 10%) | |
Processed by: _________________ | (Other Countries: 15%) |________|
| | |
Date: _________________ | Non-UK Cheque Fee (£5.00) |________|
| | |
Shipped On: _________________ | TOTAL |________|
________________________________________________________________________
PAYMENT: [ ] [Cheque: UK] [ ] [Cheque: Non-UK]
[ ] [Banker's Draft/Money-Order/Euro-Cheque]
[ ] [CREDIT CARD] Please complete:
CardHolder Name: _____________________________ (if different from above)
Address: _______________________________________________________________
Card Type: [VISA] [MasterCard] [AmericanExpress] [Euro] [Switch] [Delta]
Card Number: _______________________________ Expiry Date: ____________
Signature*: ________________________ (* required if sent by snail-mail)
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