Personal Computer Technical Services ------------------------------------ From:_______________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ Telephone:__________________________ Fax:________________________________ Email:______________________________ Date:_______________________________ Please accept my order for the following items: 01)_____________________________________________ @ £ 02)_____________________________________________ @ £ 03)_____________________________________________ @ £ 04)_____________________________________________ @ £ 05)_____________________________________________ @ £ 06)_____________________________________________ @ £ 07)_____________________________________________ @ £ 08)_____________________________________________ @ £ 09)_____________________________________________ @ £ 10)_____________________________________________ @ £ Total cost (excluding delivery charges but including all other charges) £ Delivery charges £ Total Order Cost £ Please select payment option. (delete as applicable) ----------------------------- 1)I will pay cash on delivery of my Order (available on personaly delivered orders only) 2)I will send my cheque Payable to J.Henson. to 13 Hillcrest Avenue Silsden West Yorkshire BD20 9NH and understand that after clearance my order will be despatched/delivered immediately.