Net Account Application

Note:- Please use BLOCK CAPITALS

First Names:

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Surname:

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Initials:

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House Name/ Number:

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 Street:

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Town/ City:

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County/ State:

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 Country:

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 Post/Zip Code:

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Phone Number (Daytime):

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Phone Number (Evening):

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Email Address:

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Credit Card Company (e.g. Visa):

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Name Which Appears on credit card:

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Credit Card Number:

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Expiry Date: .
3 Digit Code on Reverse of Card: .
Model  Scale (i.e. 7mm 4mm etc.)

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Period (i.e. Pre 1950 etc.)

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Company (i.e. LMS. BR. SR. etc. )

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COMMENTS  

 

 

 
Please choose a 6 figure password ( this password will be used to access your net account)

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I agree to allow this information to be stored on our database and to be used by Slater's Plastikard Ltd for internal use only.  

Signed................................................      Date...............................................

At present we only accept Master Card, Visa and Switch Credit Cards.

Return by post to;  Slater's Plastikard Ltd-Temple Road-Matlock Bath-Matlock-Derbyshire-England-DE4 3PG.

PLEASE PRINT THIS FORM AND SEND IT IN BY  SNAIL MAIL

ANY PROBLEMS EMAIL US AT  philipcroft05@btinternet.com  

(RETURN)