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........................................ 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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