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De-Icers (M.H.G) Ltd

11 Hamilton Street, Charlton Kings, Cheltenham, Gloucestershire, GL53 8HN
Tel:- 01242 573321 Fax:- 01242 573543 Email De-Icers (MHG) Ltd
ORDER FORM

Please complete this order form, print and send with cheque made payable to De-icers Ltd and send to the above address.
If you wish to pay by PayPal please use the address under:
mail@paybureau.co.uk
You will need to print this form and send it to the above address.
Date
Deliver To - Name:
Address
Town
County:
Postcode:
Tel No:
E.mail:
Quantity Ref No Description Price Total
Packaging and Delivery:
Total Payable:
Please make cheques payable to : De-Icers Ltd. PayPal payment
In accordance with V.A.T notice 701/7/02, I declare that I am chronically ill or disabled and am receiving these goods for my personal or domestic use from De-Icers Ltd., and I hereby claim relief from V.A.T.

Signed..............................................................................

Date............................................

Director: C.R.Heber Percy
Registered in England No:- 1856345
C.A.A. Approval : DAI/8969/85. F.A.A. P.M.A. Rapco Inc. BS EN ISO : Zurich 42058906
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