ADDED PERFORMANCE FOR YOU
& YOUR BIKE, WORLDWIDE...
UK
01773 831122
INTERNATIONAL +44 1773 831122
Send your order and payment securely to HPS
You may use this form to send a secure payment to HPS, please complete as much of the information below as possible.
You can refer back to our website here www.BikeHPS.com
Your Details
Title
Mr
Mrs
Miss
Dr
Rev
Sir
First Name
Surname (Last name)
Contact Details
Daytime Telephone Number
Mobile Telephone Number
Email Address
Billing Address
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Country
Postal or Zip Code
Your Payment Card Details
Card Type
Mastercard / Mastercard Debit
Visa / Visa Debit
Visa Electron
Issuer/Bank Name
Card Number
CCV2 Security Number*
Expiry Date
Month
01
02
03
04
05
06
07
08
09
10
11
12
/
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
* Last 3 digits often printed on reverse Signature Strip of card.
Additional Information
The products you need
Please enter the products you would like to purchase by simply describing them (entering any part codes you may have been given, or found on our website, if applicable) and giving the approximate total.
Your contact person here at HPS
If you have previously spoken to one of our sales team regarding this purchase - please enter their name here, if not please leave blank.
Tell us about your bike
Please enter as much of the following information as you can for your bike(s): MAKE, Model No. & Name, Year Suffix, Model Year, Colour. e.g. SUZUKI, GSX1300R HAYABUSA, K2 2002, RED. Or enter n/k if you're unsure.
Where did you find us?
Specifically, can you please tell us where you saw HPS advertised or heard about us (eg. Search engine such as Google or Yahoo, or magazine such as Bike or Fast Bikes)?
Anything else
Please enter any additional questions or comments you'd like to make here
Please leave empty:
Fields labelled in RED are required.