Special Order Acceptance |

Special Order Reference

(SHP) Order Signature

Name

Email

Order description

Price (SHP)

Deposit required

A deposit of 50% will be required because the value of your order is over £500.

You will need to pay this before we process your order.

We accept Cash, Cheques or Charges to Solomons Credit Accounts in office.

To pay at the bank or online, our details are:

Account Name: Solomon & Company (St Helena) Plc

Account Number: 10875002

Payment Details/Reference: S/O 97145 *Your Name*

Hire Purchase Option

I would like to pay via Hire Purchase

Check this box if you want to apply to pay via Hire Purchase (you will be redirected to the Hire Purchase application when you submit this form).

Signature

Clear Signature

Date

By signing this form you accept the Special Order Quote referenced above and you will be bound by the terms and conditions that apply.

Processing of your personal data will be in accordance with our Privacy-Policy. Your data supplied via this form will be used solely for the purpose of evaluating your request and will be handled in compliance with applicable data protection legislation.