Prince August Custom Order Form

PRINCE AUGUST ORDER FORM FOR CUSTOM MOULDS
NAME:
ADDRESS:
ADDRESS 2:
TOWN / CITY:
COUNTY / STATE:
POSTCODE / ZIP:
COUNTRY
EMAIL:	@
CONFIRM EMAIL	@
DAYTIME TEL:	COUNTRY CODE LOCAL CODE
MODELS ENCLOSED:
DESCRIPTION:
MATERIAL OF MASTER
MOULD TYPE (TICK)	SILICONE MOULD BLACK RUBBER MOULD CHOOSE MOULD TYPE ACCORDING TO MASTER MATERIAL. Black Rubber Mould for unpainted metal masters and Silicone Mould for other solid material masters like plastics.
WORK REQUIRED. grey areas office only
COST:
CASTING EQUIPMENT:	KIT 2000 CASTING EQUIPMENT 3 BARS OF MODEL METAL
POSTAGE:	ALL POSTAGE IS SENT BY TRACKABLE SERVICE (TYPE DEPENDS ON CUSTOMER DESTINATION)
TOTAL COST:
CREDIT CARD DETAILS:
TYPE: (E.G. VISA)
NUMBER
NAME ON CARD	NAME OF CARD OWNER
EXPIRY DATE	MM/YYYY FORMAT
CCV NUMBER	LAST 3 DIGITS ON BACK OF CARD NEAR SIGNATURE
Delivery time is maximum four weeks or by confirmation.