Swineshead Pickups - Order Form

www.swinesheadpickups.co.uk
info@swinesheadpickups.co.uk

Swineshead Pickups,
Glenhirst, Station Road,
Swineshead,
Boston, Lincs
PE20 3NX

Name: ............................................................................
Address: ........................................................................
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Postcode: .......................................................................
Telephone: .....................................................................
email: ............................................................................

Please tick here if you wish to receive Swineshead offers and updates via email.
You'll only receive offers from us, we won't give your email to any other company.

Description .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... .......................................................................................................................... ..........................................................................................................................	Quantity .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... ..........................	Price .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... .......................... ..........................
Postage is Ł2.95 for UK orders and Ł4.95 for international orders. Free postage worldwide on orders over Ł70	Postage	_____________
	TOTAL	_____________

Payment Options

Cheque
Swineshead Pickups is the trading name of J Bell Music, please make cheques payable to J Bell Music.

Credit / Debit Card
We can accept all major cards with the exception of American Express.

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Valid from: ......................................
Expiry: ........................................
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Security Code (last 3 digits on the signature strip): .................