Order Form
 Order By Fax
You may place an order by fax by downloading and completing our order form:
Download an order form
When complete, please fax the form to:
01277 632655
Order By Post
If you do not wish to pay online and would prefer to fax or post your order to us then
Send this form and payment to:
 Universal Air Products Ltd
FREEPOST CL4328
BILLERICAY
CM12 0XS
Print this page
| Ordered By: |
|
|
Delivery Address (if different to ordered by) |
| Mr/Mrs/Miss |
|
|
|
| Company |
|
|
|
| Address |
|
|
|
| |
|
|
|
| |
|
|
|
| Post code |
|
|
|
|
Tel number
|
|
|
When can we deliver? |
|
Mobile number
|
|
|
Please tell us your opening hours, Monday to Friday |
|
Fax Number
|
|
|
|
|
Email
|
|
|
|
| 1. Cheques & Postal Orders |
|
Please make payable to Universal Air Products Ltd
|
| 2. Credit / Debit Card |
|
Visa Mastercard Eurocard Delta Switch
Credit / Debit Card orders can be faxed on:
01277 632655
|
|
Valid From Date
|
|
Expiry Date
|
|
Issue Switch
|
|
Card holder Signature
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
| Card Holders Full Name and Address |
|
Send this form and payment to: |
| |
|
|
| |
|
Universal Air Products Ltd
FREEPOST CL4328
BILLERICAY
CM12 0XS
|
| |
|
| |
|
| |
|
|
Order Code
|
Filter Name
|
Size mm
H x W x D
|
Qty
|
Price
|
Each
Total
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
|
|
|
|
|
| |
Other Items (Tanks, Crystals & Fire Safety Products)
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
* Delivery Charge |
|
| |
|
Sub Total |
|
| |
|
Add V.A.T. @ 17.5% |
|
| |
|
Grand Total |
£ |
* Check delivery charges / main menu.
|
