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 Slate House Number Sign .......................................................................................... Font  ................................................................................ Colour of Letters - White / Ivory / Silver / Gold / Raised & Unpainted Raised and unpainted letters can be within a circle/oval , square/rectangle (rounded corners), or with a line border Slate Size............................   Portrait/Lanscape.   £..................  ........ Holes @ £1.10 each  £................. Line border / border in relief @ £2.75  £................. Extra Numbers over 3 @ £1.10 each  £................. Drawing to be sent before production @ £2.95  £................. Decorative design @ £3.75 Please print out decorative design page and mark the symbol  £................. P&P - UK 4x4" slate @ £3.95,  4x6"@ £4.95, 6x6" slate @ £5.95, 6x8"slate @ £6.95, 8x8" slate @ £7.95  £............... Please make cheques payable to Shaun Price                    Total  £.................  Card Number.........................................................  Expiry Date..................  Start Date........................ Sec no...................  Issue Number..................  Card Holders Name..........................................................................  Signature...........................................................................................  All signs include VAT no. 682 5902 13 sign production approx 21 days