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Please print, complete and send your order
form together with your cheque or postal orders
to - The Fine Ale Club, Layer Hall Farm, Layer De La Haye, Colchester
CO2 0ET.
This order form is also available in
PDF format |
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Your Details |
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Title (e.g. Mr, Mrs, Ms Miss) |
First Name |
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Last
Name |
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Home Address |
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Preferred Delivery Address if Different from Home Address |
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Post Code |
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Post Code |
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Phone Number |
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Mobile |
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e-mail address |
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Date of Birth * |
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* For legal reasons we are unable to sell or supply intoxicating
substances to people under 18 years of age. By placing this order you
are confirming that you are 18 years of age or older. The Fine Ale Club
reserves the right to request our delivery agents to obtain proof of age
before completing a delivery. |
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Your Order |
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Reference Number |
Name of Product |
Price Per Case |
Number of Cases ordered |
Total Price |
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Delivery Charges
(Addresses in England & Wales only *) |
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Sub Total |
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Delivery Charge |
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Total Order Value |
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Number of Cases |
Total Charge |
Your Payment |
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1 |
£9.30 |
Method of Payment |
Amount |
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2 |
£13.20 |
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3 |
£17.10 |
Cheque * |
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4 |
£20.55 |
Postal Orders * |
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5 |
£27.30 |
Total |
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* For orders over 5 cases or for delivery to Scotland, Northern Ireland,
Republic of Ireland, Channel Islands, Isle of Man or Europe please call
01206 734 372 for special rates |
* Cheques and postal orders should be made payable to "The Fine Ale
Club" |
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Signature
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