Penthouse Products Ltd
WORLDWIDE ORDER FORM

Qty Name/Description & Colour Price Each Price Sum
       
       
       
       
       
       
                  DELIVERY CHARGES  
                  TOTAL COST OF GOODS  
                  TAXES & IMPORT DUTY (if applicable)  
                  TOTAL ORDER VALUE  

 

ADDITIONAL INFORMATION  ..................................................................................................

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NAME  ............................................................................    TEL. No.  ...........................................

ADDRESS  ......................................................................    FAX No. ............................................

........................................................................................      EMAIL ..............................................

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 .........................................................................................      ZIP CODE  .....................................

 SIGNED  .............................................................................          DATE ......................................

RETURN TO WORLDWIDE PRICE LIST

Penthouse Products Ltd, Riverside House, Creeton Road, Little Bytham, Grantham, NG33 4PR (United Kingdom)

Tel/fax: 01780 410313                                                                                          Email: idris.mcfarland@btinternet.com