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END-USER CUSTOMER ORDER - RETAIL CUSTOMERS ONLY (If you have a local wholesaler/supplier, ask them if they can supply this product) If not - order Cottonette Coloured VISCOSE-45 Rolls here today UK MAINLAND DELIVERY ONLY

Please complete all fields. Those marked * are compulsory Your Name (Contact):* Your Registered Company Name:* If you are NOT a company...please type "NONE" Your Inv Address(1):* Your Inv Address(2):* County:* Postcode:* For security reasons, goods have to be shipped to INVOICE ADDRESS above Telephone No:* Fax No: Email Address:* Re-Enter Email Address:* Cottonette Coloured Viscose-45 Rolls PERFORATED CENTRE-FEED ROLLS: 250mm x 280mm x 500 sheets per roll (Packed 2 rolls per outer shrinkwrap unit) NOTE: This item is "priced per roll" Colours Available: Blue Pink Yellow White & Green * I want to order (Please select and enter quantity required of each colour) Can be mixed colour quantities 2-8 roll rate @ £21.95 per roll (Delivered) +VAT UK mainland only 10-18 roll rate @ £19.85 per roll (Delivered) +VAT UK mainland only 20+ roll rate @ £17.80 per roll (Delivered) +VAT UK mainland only A VAT INVOICE and RECEIPT will be posted to you upon shipment of goods I want to order BLUE Please select quantity required1 case x 2 rolls2 cases x 2 rolls3 cases x 2 rolls4 cases x 2 rolls5 cases x 2 rolls6 cases x 2 rolls7 cases x 2 rolls8 cases x 2 rolls9 cases x 2 rolls10 cases x 2 rollsLarger volumes-please call uspack(s) x 2 rolls Blue I want to order RED Please select quantity required1 case x 2 rolls2 cases x 2 rolls3 cases x 2 rolls4 cases x 2 rolls5 cases x 2 rolls6 cases x 2 rolls7 cases x 2 rolls8 cases x 2 rolls9 cases x 2 rolls10 cases x 2 rollsLarger volumes-please call uspack(s) x 2 rolls RED (Pink) I want to order YELLOW Please select quantity required1 case x 2 rolls2 cases x 2 rolls3 cases x 2 rolls4 cases x 2 rolls5 cases x 2 rolls6 cases x 2 rolls7 cases x 2 rolls8 cases x 2 rolls9 cases x 2 rolls10 cases x 2 rollsLarger volumes-please call uspack(s) x 2 rolls Yellow I want to order GREEN Please select quantity required1 case x 2 rolls2 cases x 2 rolls3 cases x 2 rolls4 cases x 2 rolls5 cases x 2 rolls6 cases x 2 rolls7 cases x 2 rolls8 cases x 2 rolls9 cases x 2 rolls10 cases x 2 rollsLarger volumes-please call uspack(s) x 2 rolls Green I want to order WHITE Please select quantity required1 case x 2 rolls2 cases x 2 rolls3 cases x 2 rolls4 cases x 2 rolls5 cases x 2 rolls6 cases x 2 rolls7 cases x 2 rolls8 cases x 2 rolls9 cases x 2 rolls10 cases x 2 rollsLarger volumes-please call uspack(s) x 2 rolls White A VAT INVOICE and RECEIPT will be posted to you upon shipment of goods If you have a specific wiping cloth requirement, please let us know: Please type any SPECIAL Delivery requirements HERE * CREDIT/DEBIT CARD Payment Details: 16-digit Credit/Debit Card Number (No gaps) Credit/Debit Card EXPIRY DATE (Format MM/YY) 3-digit Security Code on rear of card Name as shown on card