Living Colour Product Order Form
Please check this form, print it and fax/post it with payment (in pounds sterling) to Living Colour, 52 Barrington Road, London N8 8QS, Tel: 07961 580 561. Alternatively simply ring us with credit card details.
Family Name:
First Names
House & Street
Town
City
County/State
Post/Zip Code
Country:
Telephone
Optional
e-mail Address
colour choices
Payment by
Credit Card:
Cheque:
Delivery
UK:
Outside UK:
Credit Card Details
Full Name of Card Holder
Expiry date of card
Account Number:
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-
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Please phone or fax credit card details direct on +44 (0) 20 8347 8585.
Summary of items to be ordered
Qty
Price £
Colour Reflection Reading Printout
"Colour Your Life" Book
"Colour Your Life" CD ROM
Colour Analysis Wallet
Select Wallet Type
Spring
Summer
Autumn
Winter
Colour Reflection Reading Cards
Living Colour Meditation Poster
Daylight Bulbs
Colour Crystal Light-Unit
Total Value of Order