ADAPTABED
ORDER FORM Jan 2004 issue 4E (printer friendly)
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To order, simply print this form, complete by hand and either post or fax
with cheque/card deposit information to: |
Adapta
Design
St Andrews Castle, St Andrews Street Sth, Bury St Edmunds, Suffolk IP33
3PH
Tel: 01284 764008 Fax: 01284 760529 Email:
adaptabed@aol.com |
| Name: |
Date: |
| Address: |
Order
#: |
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Tel: |
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Mobile: |
| Delivery
Address: (if different from above) |
Fax: |
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Rqst
delivery date: |
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| Qty |
Please
supply the following items at prices as shown |
Price
incl. VAT |
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Full Adaptabed
sets @ £940.00 |
£ |
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Basic
Adaptabed kit (A) @ £670.00 |
£ |
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Tabletop (E1) and
legs @ £105.00 |
£ |
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Sets of
6 Mattress units** @ £95.00 per set |
£ |
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Sets of
6 covers for mattress units @ £70.00 per set |
£ |
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Additional
Extras: |
£ |
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Carriage
charge: £60.00 or as advised |
£ |
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Total
of purchase including VAT |
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| Terms
- deposit of 12% with order, balance 7 days before shipment. Cheques made
out to AdaptaDesign. |
First
payment £ ……………. by cheque herewith
or debit my
Switch/ Mastercard/Visa, Expiry date ……... Issue No ……..
(Switch only)
Card Number |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Balance due £ ……………
Cardholder Signature ……………………….…..
Name ……..................……………………
Cardholders Address …………………………………….................………………………..
............................................................Postcode ……………….
Home tel no ……………... |
The
kit is shipped as a complete assembled table strapped to a pallet, total
weight 100 Kg. It can be divided into parts and offloaded by one person.
All component parts can be readily passed through narrow doorways.
** IMPORTANT
For transverse bed installation confirm min internal boat width at floor
level available at intended location if less than 6ft (Noting with sketch
if necessary + depth and height of any floor obstructions) |