Please complete all relevant sections with as much details as appropriate. All information is strictly confidential.
After completing, print out this form & enclose it with your item
Your Details(Must be payment cardholder’s name/address)
Name
Address
Postcode
Day Tel
(If we have questions we need to talk to you)
Alternative Tel
Email
(We'll send you tracking info when we return your stuff)
Booking Ref
this is the date and your postcode
e.g 9th November 2009 CT2 7JA is
091109CT27JA
Please explain here what you would like done, or give details of the problem you are having
Daytime return address(If different from cardholder’s address on 1st page)
A signature will be required when your item is returned so please give us an address where someone will be in from 9-5
Postcode
How did you hear about Campag Service Centre?
Previous Customer
Magazine - which?
Word of mouth
Internet - site?
Payment details (we can call you for these if you don't want to send them)
Card Type
Visa
Mastercard
Switch/Maestro
Delta
Solo
Card number
Start date
Expiry date
Issue Number:
CVV Number:
(switch & solo only) (last 3 digits on rear signature strip)
CARDHOLDER’S SIGNATURE
Address label...
Campag Service Centre c/o Downland Cycles
The Malthouse
St Stephens Road
Canterbury
CT2 7JA Booking Ref: