Order Form
Please print and complete this form and send it together with your payment to the address below
Name:__________________________________________________________________________
Address:________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
______________________________________Post Code:________________________________
Tel:___________________________________Mobile:___________________________________
Email:__________________________________________________________________________
Please supply the following:
Quantity Amount
Kinnie (regular) _________case/s @ £15.00 per case ____________
|
Carriage cost
|
per 20kg ie...
|
|
1 case
|
£13.00
|
|
2 cases
|
£13.00
|
|
3 cases
|
£26.00
|
|
4 cases
|
£26.00
|
|
5 cases
|
£39.00
|
|
6 cases
|
£ 39.00
|
Diet Kinnie __________ case/s @ £15.00 per case ____________
Kinnie Zest __________ case/s @ £15.00 per case ____________
Total quantity __________ case/s sub total ____________
Carriage @ £13.00 per 20kg (2 cases) min £13.00 ____________
Total amount ____________
Please complete this part if delivery address is different than the above:
Delivery address:____________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
____________________________________________Post Code:_____________________________
All cheques made payable to the Maltese Culture Movement and sent to:
Maltese Culture Movement
PO Box 2964
London N19 4NS
Tel: 020 7272 9000
