Cufflinkus.co.uk Order Form
Please fill in the details below in block Capitals, print and post to: Cuffflinkus.co.uk 7 Newlands Road Norbury London SW16 4SL Date:
Name:
Delivery Address:
Home Address: (if different )
Email Address:
Home Tel:
Contact Tel:
Item Code	Item Description	Quantity	Price	Total
Postage and packing: UK orders are FREE. For Europe please add £6.00, USA, Canada, Australia, New Zealand & UAE please add £7.00
Total order value including Postage and Packing				£
Payment I enclose a cheque (payable to H. Sherwani) for £__________ (Cheque option ONLY for UK customers) or please debit this amount from my debit/credit card as follows: Name (as it appears on the card): _________________________________________ Card type (please circle) Visa/MasterCard/Switch/Solo/Delta Card Number _____________________________________ Security Code ______ Expiry Date _________ Valid from ________ Issue number (Switch only) ______