Smoked Salmon Order Form
To be delivered to:-
First Name:
Family Name:
Delivery Address:
City/Town:
State/County:
Country:
Telephone:
FAX:
Email
(necessary)
:
Smoked salmon is IR£14.00 per Kilo + Delivery Costs.
Sides of Salmon are available in 3 sizes.
A. 700g to 1Kg
B. 1Kg to 1.3Kg
C. Greater than 1.3Kg
Please indicate the number of sides of each size you require
Size A
Size B
Size C
Required Date:
Payment Details
VISA
Mastercard
Diners
Eurocheque
Bank Transfer
Card Number:
Expiry Date:
Name Cardholder:
Address:
Bank Transfer:
Allied Irish Bank 25 Main St, Killarney, Co Kerry.
Account Number: 26000012 Sort Code: 93-63-32
Eurocheque:
Payable to Spillane Seafoods in Irish Pounds
(Max £800)
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