|
CRD, 23 Hewitts Estate, Elmbridge Road, Cranleigh, GU6 8LW T: 01483 542920 F: 01483 542921 PLEASE PRINT AND COMPLETE THIS FORM IN ITS ENTIRETY Title/Name___________________________________________________________________ Address______________________________________________________________________ City_________________________________________________________________________ County______________________________________________________________________ Postal/local code_______________________________________________________________ Contact phone/fax numbers______________________________________________________ e-mail address_________________________________________________________________ Make & model________________________________________________________________ Serial number_________________________________________________________________ Faults/comments______________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Other items enclosed i.e battery, lens strap etc_______________________________________ Please include deposit at applicable rate e.g. £15 Cameras etc, £25 Camcorders. For Cheque or Credit card payment please indicate as applicable and complete details below: I enclose payment Yes/No............. Cheque Yes/No..............C-Card Yes/No........... |