Order form for Laminate House Numbers

Please print this order form and send it with your cheque to Shaun Price, Yelland Farm, High Bickington, Umberleigh, Devon EX37 9BX  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........................................ Laminate Number Design Ref.............................   £..................  ........ Holes if required @ £1 per 4  £................. Decorative motif/ Picture or extra text @ £3.00 Please print out decorative design page and mark the symbol  £................. P&P - UK & Worldwide airmail £1.75  £............... Please make cheques payable to Shaun Price                    Total  £.................  Card Number.........................................................  Expiry Date..................  Start Date........................  Issue Number..................  Card Holders Name..........................................................................  Signature........................................................................................... VAT no. 682 5902 13 sign production 14 days from receipt of order

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