90 Hertford Street, Cambridge, CB4 3AQ,
England.
ORDER FORM
Please send me the following:
Cost .............. @ £47.50 each £..............
Shipping (postage, packing and insurance)
£9.75 (special delivery) ................
£14.75 £...............
(rates available on request)£............... £...............
TOTAL £...............
Payment details
Please debit my: | Visa | MasterCard | Maestro | American Express |
Name on card:.................................................................................
Card number:...................................................................................
Expiry date: ....................................... Security Code: ...................
Signature: ........................................................................................
Date: ...............................................................................................
Telephone number: .........................................................................
E-mail address: ...............................................................................
Delivery address (block capitals please)
Name: .............................................................................................
Address: ..........................................................................................
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June 2013