H.Dickinson & Co
Tel: 01302 344811
Email: isight@totalise.co.uk
Registered U.K. Optometrists located in Doncaster South Yorkshire, U.K.
To use this Fax / Mail form, add all the products that you wish to purchase by clicking the "Add to Fax/Mail Form" button under the desired products on the "Browse Shop" page. Then print this page, either through your browser, by pressing "Ctrl" and "P", or by clicking the "Print Fax / Mail Form" button at the bottom of the page.
To place an order for the items below with H. Dickinson & Co., you can either:
| Name: | |
| Street Address: | |
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| Town/City: | |
| County/State/Province: | |
| Country | |
| Post/Zip Code: | |
| Contact Telephone Number: | |
| Email Address: |
If delivery address is different to the above address or if there are any specific delivery instructions, please use the space provided in the box below:
| Credit Payment Card: | We accept: Visa, Master Card, American Express, Maestro, Swith, Delta and AMEX. | |
| Cash: | We only accept Pound Sterlings and Euros, and it must be sent by registered post. For more information, visit http://track.royalmail.com/portal/rm/product1?catId=22700601&mediaId=22700528. | |
| British Postal Order: | This will only be accepted on UK orders. For more information, visit http://www.postoffice.co.uk/portal/po/content1?catId=19400177&mediaId=19900224. | |
| Cheque: | This is UK only and it should be made payable to "H. Dickinson and Co.". |
| Cardholder Name: | Expiry Date: | Card Security Code * : | |||
| Account Number: | Card Type: |
* The Card Security Number on Visa/Mastercard is a 3 digit number on the back immediately following your main account number. On American Express it is a 4 digit code on the front above and to either the left or right of the main number.