S E C T I O N S

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Order Information

Phone:  +44(020) 85740737
Fax:   Print this form and fax it to +44(020) 85740737
Mail:  Send this form to KJILM, 44 Queens Road, Southall, MIDDLESEX, UB2 5AY
Copy and paste this information in an E-mail and send to: kjilm@kjilm.co.uk

Terms & Conditions
Terms and conditions of KJILM

Shipping Information
Shipping information, costs, and policies included.

Order Form

Product Item Description Price Qty. Total Subtotal Tax Total

Shipping Address

Name Address             City State Country Zip E-mail

Billing Address
  Check if same as shipping address

Name Address             City State Country Zip E-mail

Billing Information

Credit card Name on Card Card number Expiration