Juniper Covers Ltd.

P.O. Box 92. Ashdon, Saffron Walden, Essex CB10 2WG, United Kingdom.
Telephone ++44 (01799) 584579 · Fax ++44 (01799) 584825

Print this FORM and send it by FAX or Mail

Account Registration & Order Form

Surname  ____________________   Given name   ___________________   Initials   _________

House No. or Name   _______________   Road   _______________________________________

District   _________________________________________________________________________

Post Town   ______________________________________   Post Code   ___________________

Country   ____________________

Dealer Reference 1   ______________________________________________________________

Dealer Reference 2   ______________________________________________________________

 

Please send me the following items, or colour prints at £1.00 per item set, in accordance with your Terms & Conditions.
An example is given in the first two lines.

Stock No. Catalogue No. Description Price Print
J100838 BM126 Birmingham mileage mark £25.00 Yes
J100131 L65d "5/Off" London General Post £260.00 No