If you have any problems completing this form, please contact us on 0771 3526495 or email us at sales@brassmaster.co.uk  Please use one form per product and fax completed forms to 01923 896565 or 0871 9005408. We now accept all major credit cards (via PayPal) please contact us for more details. Order form      * = required 1) Product *  product code/description  X  (width X height) mm  /  inches (please circle units)  quantity  comments  (cost in £) FOR OFFICE USE ONLY 2) Country of delivery (please circle country)* Customer Collection  /  Local Area (6 mile radius)  /  Mainland UK  /  Guernsey  /  Isle of Man  /  Isle of Wight  /  Jersey  /  Northern Ireland  /  Republic of Ireland  /  Scotland  /  Scottish Highlands  (cost in £) FOR OFFICE USE ONLY 3) Personal details  name *  address and postcode  email address *  telephone number *  fax number 4) How did you find us? (please circle source) Search Engine  /  Word of mouth  /  I just surfed in  /  Press or magazine advertisement  /  Other

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Registered in England and Wales, Reg. No.5633852
Registered office, 36 Oakhill Road, Maple Cross, Rickmansworth, Hertfordshire WD3 9RF