Order form for Laminate House Numbers

Please print this order form and send it with your cheque to Shaun Price, Country Ways, High Bickington, Umberleigh, Devon EX37 9BJ or fax it with credit card details to 01769 560819  Date.................................. Name....................................................................  Address...........................................................................................................  ........................................................................................................................  ...................................................................Post Code....................................  Tel.................................................... Fax........................................................  e-mail............................................................................................................. Numbers to be carved into the sign .......................................................................................... Font  ................................................................................ Colour of Laminate.......................................................... Extra Text if required............................................................................... Border description if required.................................................................. Picture/Motif Code if required........................................ Holes Drilled Yes / No Laminate Number Design Ref.............................   £.................. Decorative motif/ Picture or extra text @ £3.30 Please print out decorative design page and mark the symbol  £................. P&P - UK - 2.48  £............... Please make cheques payable to Shaun Price                    Total  £.................  Card Number.........................................................  Expiry Date..................  Start Date........................ Sec no...................  Issue Number..................  Card Holders Name..........................................................................  Signature...........................................................................................  Signs include VAT no. 682 5902 13