Order form (printable order form)

                    
REF. NO.
PRICE EACH
QUANTITY
TOTALS
           
           
           
           
           
           
           
           
           
           
           
   
 
Please add VAT to sub-total
   
SUBTOTAL
    
VAT@20%
    
Post & Packaging (UK)
£5
00
TOTAL
    

I. Please tick your choice of backplate: Natural Oak Honey Oak Tudor Oak Antique Mahogany
II. If you have ordered Osborne or Standen switches, tick your choice of ceramic switch holder: Black White
III. If you have ordered Standen / Albany toggle switch, indicate: Polished Brass or Polished Chrome
IV. If you have ordered Albany dimmer, indicate: Polished Brass Polished Chrome Brown White
V. If you have ordered Heritage socket inserts, indicate your choice of inserts: Black or White
VI. If you have ordered Bakelite switches, tick your choice of Bakelite: Brown or White
VII. If you have ordered Albany rocker, indicate: Polished Brass Polished Chrome Black White
VIII. If you have ordered Albany or Churchill sockets indicate your choice of insert and finish:
Polished Brass Polished Chrome Black White

Name..................................................................................................................................................
Address...............................................................................................................................................
..........................................................................................................................................................
Telephone (daytime)............................................................................................................................

I enclose a cheque for the total amount shown made payable to: Olivers Lighting Company
or please debit myAccess Visa Mastercard Switch*/Maestro

Card No.
                                     
  Issue No*
 
Expiry Date
       
Start Date
       
Security Code
     

Signature.......................................................................... Date..........................................................

Oliver's Lighting Company, Bideber Mill, Westhouse, Ingleton, Carnforth, North Yorkshire, England LA6 3NY
Telephone & Fax 01524 242478 or email us on sales@oliverslighting.co.uk

PLEASE ALLOW 21 DAYS FOR RECEIPT OF YOUR ORDER