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Alternative Look - Swatch Order Form - Please print and complete.

Alternative Look,
(a) 171a Church Street, Blackpool, Lancashire, FY1 3NX.
(t) 01253 622270
(f) 01253 624977
(w) www.alternativelook.co.uk

 

Name (as shown on card)
................................................................................
Address
................................................................................

................................................................................

................................................................................
PostCode
................................................................................
Credit Card No
................................................................................
Expiry Date
................................................................................
(Please tick) MasterCard Visa Delta Switch

Tel or Email ...............................................................
(Must have one)
 
 

Signature (Required for Credit Card Orders) ...........................................................
Switch Cards Only Start Date .......................... Issue No .........................
Note: Switch deposit is refunded back to your account upon the return of the swatches.
Synthetic colour rings £20.00 per designer + £4.95 Postage & Packaging.
Designer Wig Swatch Ring Price
       
       
       
       
       
       
       
    Total Price = (£)  
If this is by post, please return this form with your Credit Card Details, Cheques or Postal Orders are to be made payable to 'Alternative Look'