Order Form
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Need more space? Extra form lines are here
Please make all cheques payable to M. GANNON Only
PLEASE PRINT CLEARLY BELOW
Customer Name: ...............................................................................................................................
Address: ..........................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
Telephone / Fax Number: .................................. E-Mail Address:..........................................................
| UK rates |
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European Rates |
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| Up to £5.00 - £1.00 |
Up to £75.00 - £3.50 |
Up to £5.00 - £1.60 |
Up to £75.00 - £6.60 |
| Up to £10.00 - £1.80 |
Over £75.00 - £4.70 |
Up to £10.00 - £3.20 |
Over £75.00 - £9.00 |
| Up to £20.00 - £2.40 |
|
Up to £20.00 - £4.40 |
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All other Overseas Countries postage at cost - Minimum £5.00 Credit Card Number: ______/______/______/______ Expiry Date: ___/___
Last three numbers on signitature strip /______/
Credit Card Transactions Subject to 5% Surcharge. Minimum Order £7.50 Excluding Postage
Card Type - Visa: |__| Mastercard: |__| Eurocard: |__| Issuing Bank: ......................................................
Please Debit My / Our account £ ______ / ___ Signed: ..................................... Date: ............................
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