RETAIL ORDER FORM



RETAIL ORDER FORM
Item Sales Code Desciption and Notes Quantity Price Each Price Total
A . . . . .
B . . . . .
C . . . . .
D . . . . .
. - Total of all items - - .
. - Cheque/PO Number . Amount .
Your Name and Address Details for Delivery
Name
.
Address Including Post Code
.
.
.
.
Telephone
.
E-Mail
.

Please make cheques payable to:

Variable Voltage Technology Ltd

We would advise you to cross them 'A/C payee'


Send Order with Cheque/Postal Order to:

Sales Department (W)
Variable Voltage Technology Ltd
Unit 3B Sheat Manor Farm
Chillerton
NEWPORT
Isle of Wight
PO30 3HP
England.


© 2008 Variable Voltage Technology Ltd. Document Number DCW12775.