To use our Mail Order Facility please print off the form on this page and post or fax to the address given below.

The A6 Shop, Plumpton, Penrith, CUMBRIA, CA11 9NS.
TEL: +44 (0) 1768 894200 Fax: +44 (0) 1768 885770
E-MAIL: enquiries@a6toys.co.uk  

Title:

Surname:

M.I.:

Address:

County:

Postcode:

Daytime Telephone:

E-mail address:

Credit Card Number ( Visa & Mastercard only )

Name on card:

Expiry Date:

Signature:

Recipient Details ( if different from above ):

Title:

Surname:

M.I.:

Address:

County:

Postcode:

Daytime Telephone:

E-mail address:

Model No

Description

Qty

Price

Total

Cheques (Made payable to L & R Pakalski)
Please write your address & card number
on the reverse.

Subtotal

Total

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