Arizona customer order form for UK and Northern Ireland customers only.
The fastest method to receive your order is by ordering on-line.
Alternatively, you can telephone 0845 2008531 to pay by card or to arrange to post your order and payment to one of our UK agents.
Order Code | Description | Size | Number required |
Price per item / pack. | Total price |
Order processing and delivery. Please enter the amount you have been quoted. |
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Please enter the total price of
your order, including order processing and delivery. |
Your details. To ensure that we have interpreted your sizing requirements correctly, please enter your measurements below. When ordering our vinyl pants, please indicate if these are to be used with our terry towelling nappies. We will add a suitable additional allowance to your provided hip measurement.
Hip (inches) | Waist (inches) | Top of leg circumference (inches) |
If you are ordering waterproof pants. | Are these for use with towelling nappies? | Yes / No |
Important. If you are paying by credit card, to prevent fraudulent use, you must enter the credit card owner's details below. These will be checked by World Pay against the international card holder database.
Name : Mr/Mrs/Miss | ||||
Address 1 | ||||
Address 2 | ||||
Address 3 | ||||
County / State | Post Code |
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Country if not UK | ||||
Please enter a contact telephone number. | Tel. No. |
If you are paying by credit or debit card, please enter your details below
Card No | |||||||||||||||||||||
Start date (if applicable) | Expire date Essential | Issue No (if applicable) | |||||||||||||||||||
Please enter the last 3 digits from the security code on the back of your card. Essential |
Card holder's signature
Security notice. This order form containing your personal details will be shredded 1 year after your order has been processed.
Cash (UK currency only). For your security, this must be sent by registered post.
Crossed
UK postal orders.
Most credit and debit cards (excluding American Express)
A cheque drawn on a UK bank. (Please allow for 5 full working days for us to
clear you cheque). For your safety, please cross them A/C payee only.