Print this page and send to SUZI

Customer Ref  No..................................

41 Carnarvon Road, Southend on sea Essex SS2 6LR
Telephone 01702 463774
Fax 01702 465746
Email chas@suziwigs.co.uk

ORDER FORM   (Please Print In Capitals)   Date..............................

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Name.............................................................
All order sent in a plain Manilla envelopes Flat packed or boxed with ONLY your name and address. Tick the appropriate box below.
Flat Packed (fits through letter box)
Plain  Box
Payment by CHEQUE, POSTAL ORDER or CREDIT CARD. (see below)
Cheques Payable to: SUZI
Address..........................................................
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......................... Post Code.............................
Telephone.......................................................
How Many Style Name or Number Page No. Colour No. (or Cutting)  £ TOTAL
         £
         £
         £
         £
   Wig Shampoo   £ 4.99  £
   Wig Brush  £ 3.99  £
   White Polystyrene Head  £ 5.99  £
   Fibre Oil Conditioner  £ 4.99  £
   Hair Spray  £ 4.99  £
   Wig Cap Liner  £ 2.99  £

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P & P Nil by website

TOTAL

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Debit my Visa/Mastercard Card No......................................................... Expiry Date.............