JIGSAW GALLERY MAIL ORDER FORM


FAX THIS FORM TO : +44 (0)208 661 7794 or POST to Jigsaw Gallery Limited Mail Order Department MMC Ltd Blacknest Industrial Estate Blacknest Road Alton , Hampshire GU34 4QE
JIGSAW GALLERY MAIL ORDER FORM
ENTER PRODUCT CODE OR TITLE HERE	Price	Qty
	£
	£
	£
	£
	£
	£
Shipping Costs (see below to calculate)	£
UK Mainland add £2.99 Outside UK Up to £10.00 add £9.99 Outside UK £10.0 - £40.00 add £15.99 Outside UK £40.00 + add £29.99
Total Cost	£
Shipping Details
Name
Address
Country
Post Code
Telephone Number
E-mail Address
Jigsaw Gallery Membership Number
Payment Details
Credit Card Number
Expiry Date
Start Date (if Debit/Switch card)
Issue number (if Debit/Switch card)
If faxing please print form and fax to +44 (0)208 661 7794
If paying by Cheque or Postal Order please make payments to Jigsaw Gallery Limited and send to : Jigsaw Gallery Limited Mail Order Department MMC Ltd Blacknest Industrial Estate Blacknest Road Alton , Hampshire GU34 4QE