PURCHASE ORDER FORM

Please fill all the fields clearly
  CUSTOMER DETAILS
Contact Name *
Telephone
Fax
Email Address *
Mobile *
   
Customer Accout Name
Order Reference Number
Address *
Postcode *

  PRODUCT TO BE PURCHASED
PRODUCT 1 PRODUCT 2
Purchase Price
Product Code
Date of Payment
Manufacturer
Product Description
Compatible with
(e.g Nokia 6300)
Purchase Price
Product Code
Date of Payment
Manufacturer
Product Description
Compatible with
(e.g Nokia 6300)

  CREDIT CARD PAYMENT

CREDIT CARD DETAILS
Name on card:
Card Number:
Valid from:  \ 
Valid Until:  \ 
Issue Number:
CBT Number
 
  CHECK PAYMENT
**NB Please ensure you write your name on the back of all cheques made payable to 'Phone City'.
**Bank deposits-Please ask the counter assistant to use your full name as the payment reference number.
**Your conterfoil should be kept as proof of payment.

**Our Bank Details are:
  Bank Address: Barclays Bank PLC
Muswell Hill & Crouch End Group
POB Box 6549, London
N8 9RJ
  Account Name:
Account Number:
Sort Code:
Swift Code:
IBAN:		 Phone City
00366315
20-58-51
BARCGB22
IBANGB67BARC205851100366315

**This may take upto 10 days to clear in full. We endeaver to process your order and dispatch the goods after this period.