Have you ordered from us before? Yes [    ]  No [    ].     If No, please provide proof of trading or professional status such as business card, diploma, college receipt. GOODS MUST BE SIGNED FOR AND CANNOT BE LEFT WITHOUT SIGNATURE

 

ORDERED BY:  (Block Capitals please)        DELIVERED TO:  (if different) 

NAME:	NAME:
ADDRESS:	ADDRESS:
POSTCODE:	POSTCODE:
TEL NUMBER:	TEL NUMBER:

                                                                                                

DATE REQUIRED BY: _________________                

 

QTY		PRODUCT DESCRIPTION		SIZE	PRICE £	TOTAL £
			SUBTOTAL
	POSTAGE & PACKING: £3.95 (+VAT)		POSTAGE and PACKING
	Orders over £100.00 Nett : Post Free		SUB TOTAL
			V.A.T @ 17.5%
	N.Ireland / Shetlands / Highlands / Isle of Man		BOOKS TOTAL (zero rated VAT)
	Carriage at Cost (Minimum £3.95)		GRAND TOTAL

 

METHOD OF PAYMENT (please tick)

CHEQUE            [        ]   Payable to The Essential Oil Company Limited              

CREDIT CARD  [        ]   MasterCard / Visa / Delta / Connect / Amex / Switch (Enter Issue No.: [         ])
Last three digits from the Signature Strip: [     ][     ][     ]

 

   CARD No.                                                                                                            EXPIRY DATE                 VALID FROM DATE

 

        Card Holder Name and Initials (as on card) ____________________________________

        Card Holder Address (if different from above)

 

        Signature : ________________________________