| Quantity | Date | Country | Description | Each | Total £. p. |
| Postage & Packing at Buyer's Risk | £5 | ||||
| Postage & Packing - Fully Insured | £10 | ||||
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Please mail to:-
| Name |
| Street Address |
| Town / City |
| County |
| Country - |
| Postcode |
| E-mail address for advice of despatch |
| Telephone numbers |
| Special Instructions: |
Please charge my credit card:-
| Card Type - MasterCard - Visa |
| Number |
| Expiry Date |
| Issue Number or any Other Details |
| Name exactly as shown on card |
| The above information is correct. Signature |
Please mail to:
Chard, 521 Lytham Road, Blackpool,
Lancashire, FY4 1RJ, England
Telephone (44) - (0) 1253 - 343081; Fax 408058; E-mail: [email protected]