Luxclamp Modular Handrailing
Fax Order Sheet

To ensure that we have all the information to process your order quickly, please
make a print-out of this Luxtrade Fax Order Sheet from your browser and fill in as
much product information as you can. Then fax it to us.


Fax to: Luxtrade Limited
Attention: Jayne Cartwright and Adam Carpenter
Fax number: 01902 404 628
Date _______________________________________________________________
Name _______________________________________________________________
Company _______________________________________________________________
Address _______________________________________________________________
. _______________________________________________________________
Telephone _______________________________________________________________
Fax _______________________________________________________________
Email _______________________________________________________________
Please tick below:
Please call me to discuss specification and price.
Please give your best price and delivery on the following product(s):
Product Quantity required
___________________________________ ___________________________________
___________________________________ ___________________________________
___________________________________ ___________________________________
___________________________________ ___________________________________
Type of base fixings
___________________________________ ___________________________________
If raked the angle ____________________
Type of finish required: Self colour
Galvanised
Other.__________________________
Alternatively, give details below (including use):