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Company Name


Address 1


Address 2


City


Postcode


Telephone number


Fax number


Email


Description of article and product code
(if applicable)


Number of sets to be ordered


Price per set


Total amount due


Signature


Optional Note


Orders by £ (stirling) cheques only

*For orders by credit card, debit card or bank transfer in stirling and other currencies, please use the online payment processor on the website.

PLEASE SEND A STIRLING CHEQUE PAYABLE TO:- K EDWARDS (NOT PADSDIRECT).

together with this completed order form to:
PADS DIRECT
3 Fulshaw Court
Wilmslow, Cheshire
SK9 5JB, ENGLAND