PLEASE PRINT THIS PAGE AND SEND WITH YOUR ORDER
Secur-i-disc Order Form
Name
Address
Telephone
E-mail
ITEM
PRICE
NO.
TOTAL
Standard Holder Red & White (Item: MV1)
£1.60
Standard Holder Black & Gold (Item: MV2)
£1.60
Official D.V.L.A Tamper Proof Holder (Item: DV1)
£1.60
No Smoking R & W Tamper Proof Holder (Item: NS1)
£1.95
Deluxe Motor Car Black & Gold (Item: MV3)
£1.95
Deluxe Motor Car Red & White (Item: MV4)
£1.95
Motorcycle B & G Fairing/Wind Shield (Item: MC1)
£1.95
Motorcycle R & W Fairing/Wind Shield (Item: MC2)
£1.95
Motorcycle Black & Gold Tank/Body (Item: MC3)
£1.95
Motorcycle Red & White Tank/Body (Item: MC4)
£1.95
Full Motorcycle Bolt-On Holder B & G (Item: MC5)
£4.00
Full Motorcycle Bolt-On Holder R & W (Item: MC6)
£4.00
Motor Scooter B & G Tank/Body (Item: MS1)
£1.95
Motor Scooter R & W Tank/Body (Item: MS2)
£1.95
TOTAL
Please send a stamped self addressed envelope together with a cheque or postal order made payable to 'Secur-i-Disc (U.K)' to;
Secur-i-Disc (U.K),
Unit 4 Gunbarrel Ind Est,
Hayseech Lane,
Halesowen,
West Midlands,
B64 7JZ.
On receipt of your payment, we will send your Secur-i-Disc(s) by return of post.
Do NOT send notes or coins as we will be unable to process your order.
