Condomi Direct Fax/Mail Order Form

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If you wish to order by Fax or Post, please print this form and send it to us.
If ordering by fax, please fax it to us on 0115 924 5599. This can be done 24 hours a day, 7 days a week.
If ordering by post, please make cheques payable to Condomi Direct and send to the following address:
Condomi Direct
Unit A25, Hartley Business Centre
Hucknall Road
NOTTINGHAM
NG5 1FD
Your Details:
Account Number (If account holder)
Account Name:
Title: (Mr,Mrs,Miss,Ms,Dr)
Full Name:
Delievry Address:
         
City:
Post Code:
Country:
Contact Telephone:
Contcat Email:
Order Details:
Products Description Unit Cost Quantity Price ()
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
   

Order Total

 
Prices are ex VAT.  Please add VAT at 17.5% to your order.  

VAT Amount

 
Shipping is charged at 8 on all orders.  

Shipping

  8.00
   

GRAND TOTAL