www.urban-glow.com
email:sales@urban-glow.com
Order Form
Home Address (please write in block capitals) Delivery Address (if different from home address)
Mr/Mrs/Miss/Ms................................................... Mr/Mrs/Miss/Ms...................................................
Address............................................................. Address.............................................................
........................................................................ ........................................................................
........................................................................ ........................................................................
Postode............................................................. Postode.............................................................
Country............................................................. Country.............................................................
Daytime Telephone............................................. Daytime Telephone.............................................
email address.................................................... email address....................................................
Product
Size
Quantity
Price (each)
Postage & Packing
Total

RideStar (adjustable vest)
Size 1 (36" to 42")
Size 2 (44" to 50")
Size 3 (52" to 60") custom order

    £49.95 £3.50  
TourStar G2 (adjustable)
Size 1 (36" to 42")
Size 2 (44" to 50")
Size 3 (52" to 60") custom order 		    £49.95 £3.50  

TriStar (adjustable vest)
Size 1 (34" to 40")
Size 2 (42" to 48")
Size 3 (50" to 56")

    £29.95 £3.50  
Windshirt (custom order)
    Price on application £3.50  
Rucksack Cover
-
  
£19.95
£3.50
  
OR if you require Special Delivery (guaranteed next day)
£5.50
Grand Total
 


Tape Colour -
please indicate 		Lime
Yellow

Cool
Silver

 Electric
Pink		    
Note: Electric Pink available on TriStar as standard, all other vests as Special Order
How did you find out about us?
  What make and type of bike do you ride?
Would you like to be kept informed of further Urban-Glow products? YES/NO
  
 
No Risk :
We know it can be daunting buying a product that you haven't tried on in a shop, so buy with the confidence that you can return it to us, in original condition within 14 days for a complete refund (please tell us why you are returning it). You are however liable for return postage. Likewise if you wish to exchange size, please enclose further payment to cover that postage. Your statutory rights are unaffected.
Your customer details are for our use only and will not
be passed on to any third party

Custom Vests
If you require special sizes, tape colour options, designs or specifications please contact us for details

For office use only
Order No.  
Date received  
Payment  
Date despatched  

How to Pay:
We currently accept the following payments:
Online payment via PayPal
Cheques: Please make payable to Urban-Glow
BACS/Electronic Transfer: Contact us for our account details.
Tel: 01305 267113 Email: sales@urban-glow.com
Send to:
Urban-Glow, PO BOX 6209, Dorchester, Dorset, DT1 9AU