Order Form
Phone: 01784 432449
Fax: 01784 432449
E-mail: sales@peterton.co.uk
Name
Address
Town
County
Tel. No.
Order Reference (if applicable)
Post Code
Day
Evening
Product
Description
Price
Qty
Sub-Total
Variflush
Type A - Right Hand fitting
£20.00
Type A - Left Hand fitting
Type B
£15.00
Dual Flush
Universal Fitting
£22.00
Prices are inclusive of Carriage and VAT @ 17.5%
Total
Tick box if VAT receipt is required
Please make Cheque/PO payable to Peterton Ltd
Signature
Date
.........................................................................................
This form can be completed on-line, or in manuscript. After it has been completed and printed please mail it with your cheque to Peterton Ltd., 9 Vicarage Avenue, EGHAM, Surrey. TW20 8NW
Contact sales@Peterton.co.uk with questions or comments regarding this site.Copyright 2008 Peterton Ltd. All rights reserved.
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