le prevo limited

Please type in your details followed by the details of the goods you require and Submit.
Please note, if you hit the return key, this will also send the form.

  Full Name*
  Company Name (if applicable)
  Billing Address *
  Town *
  Postcode *
  Country *
  Telephone *
  Fax number
  e-mail *
  confirm e-mail *
    * denotes mandatory field  
I would like delivery to a different address, details in Comments box
Please tell us if you are a new customer an existing customer or
an existing customer with new contact details,
please include old postcode so we can find you in our records
Order Code
Description (colour, size etc)
minimum goods order value of £10(UK) £25 (Int)   Total Goods
link to Carriage Rates
  Sub Total 1
  VAT@ 20%
Grand Total
If there is any further information you wish
to provide, including a delivery address
if applicable, please type it in this box.
I have read and agree to the trading terms* type YES
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Order Form