• Print out this order form and send it to this address with completed Credit/Debit card information or accompanied with a cheque or postal order made out to SelectSexToys of the full amount.

• Cheques may take 7-10 days to clear

Name

Shipping Address

Billing Address

House no

House no

Street

Street

City

Post Code

City

Post Code

Shipping Method

[]   1^st Class (Free Postage)

I Am Paying With:

[] Cheque [] Postal Order [] Credit Card [] Debit Card

Card Information

[] Visa [] MasterCard [] Switch [] Solo [] American Express

Credit Card #

Sort Code

Exp. Date

Start Date

CSC*

Item Name

Brief Description

Size

Qty

Price

Total

Subtotal

Shipping & Handling

0.00

Signature