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
First Name Middle Name(s) Surname


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
Issuer/Bank Name
Card Number
Card Issue Number*
CCV2 Security Number**
Valid from/Start date (where shown) /
Expiry Date /
   
   
* Issue Number required for Switch/Maestro, Solo only.

** All numbers printed on reverse Signature Strip of card [4+3 digits where printed or 3 digits only] required for Mastercard , Visa / Delta (Not Electron), Switch/Maestro, Switch/Maestro (no issue no.), Solo only.

   




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

Fields labelled in RED are required.




Thank you for your custom.