Order form for Cast Brass Numbers

Please print this order form and send it with your cheque to The Sign Maker, 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 required .................................... Motif to be used on JB9 RR only ......................... Black / Green / Blue / Maroon Design Reference Number...........................................  £................. (Overseas P&P £9.00)   r  £................. Please make cheques payable to Shaun Price            Card Number.........................................................  Expiry Date..................  Start Date........................ Sec no...................  Issue Number..................  Card Holders Name..........................................................................  Signature...........................................................................................  All signs include VAT no. 682 5902 13