(all displayed values are rounded to the nearest penny.)

Please fill out the following information below to complete your order:
 

	Mr. Mrs. Miss. Ms.
First Name		Last Name
Address		Street
Town		City
County		Post code	(use a space to separate)
Country	United Kingdom ( UK only )	Phone No.
email address	@	(please do not type the"@" symbol...)
The best time to suit you for your deliveries.			Please select. Anytime Afternoon only Afternoon or Evenings only Anytime After 4pm Anytime after 5pm Anytime after 6pm Anytime between 7pm and 9pm
Please enter your Date & Month of Birth -			Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - month January February March April May June July August September October November December
How did you find "cds2u"			Please select. Referred by a friend Referred by a company Referred by a website Leaflet Found you on the web Local Newspaper Advert Advertising on Vehicle other
If referred then please enter the Referrers code :-			(eg. abc-1234 )

 

Comments/Special Instructions:

Payment will be C.O.D (cash on delivery).

Please have payment ready for delivery driver prior to delivery.

If you want a copy of this order for your information,
then print this form before sending your order.