Order Form

Please print the form below and send

Because of the unique nature of our business and most items being one-off, please submit your order by any method, we will then confirm the item is still available, ask if you wish to proceed and arrange payment.

We are currently experiencing problems with our server, please email us direct using link on home page and not via this order form, thank you.

Personal Details
Full Name:
Address:
Postcode:		Telephone Number:
E-mail Address:
Order Details
Stock No: Short Description Price Qty Total   Postage/Shipping is extra unless specified, please enquire for a quote. Final Total:
We are currently experiencing problems with our server, please email us direct using link on home page and not via this order form, thank you. Only fill in the details below if you are printing the order form off to post to us.
Credit Card Details
Card Type:		Expiry Date:
Name on Card:		Security Code: (last 3 digits printed on rear of card)
Card No:		Issue No: (Switch only)

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We accept no responsibility for credit card details that are e-mailed to us. We do not have a secure server.

L A Services Ltd, Bramcote Fields Farm, Bramcote, Warwickshire Tel: 01455 220340
The Engineers Emporium is a registered trademark of LA Services Ltd © 1999 E & O.E