www.heartratemonitor.co.uk  

 
Paying by Cheque 
 

Please use this form in the following manner:- 
List the products that you wish to purchase in the "Item" boxes, and their prices.
Complete all address details  Please make cheque payable to "B H I P Limited"
 
Then either: 
 
Print the form and send it, with your cheque, to the address at the bottom of this page 
 
or 
 
Press "Send Form" and post your cheque to the address below. 
 
Goods will be delivered as soon as cheque has cleared  

Item 1

Price 1

Item 2

Price 2

Item 3

Price 3

Total

Remember, our prices are inclusive of delivery. Please do not add any extra charges  

Name:

Address1:

Address2:

Address3:

Post Code:

E-mail:

Telephone:

Fax:

 
Check here if you would like confirmation of receipt of cheque and a predicted delivery date  

Confirm cheque and delivery date

Now click the button to send your form.

Or print this page and send it to the address below