Order Form

Please fill in all details...then print out using browser print button...and send with payment to: Ginger Tom, 12 The Maples, Carterton, Oxfordshire, OX18 3HB

Name

Address

Town / County Post Code

Telephone No. / E-mail

QTY. Code Description Price

QTY. Code Description Price

QTY. Code Description Price

QTY. Code Description Price

QTY. Code Description Price

Please add postage and packing Total

METHOD OF PAYMENT (after printing this page, please complete the following)

I enclose a cheque or postal order made payable to Ginger Tom [ ]

Please charge my credit/debit card [ ] indicate card type: Visa [ ] Mastercard [ ] Delta [ ] Switch [ ]

card number ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... expiry date ... ... ... ...

(Switch issue number ... ... / start date ... ... ... ... ) name on card.................................

cardholders signature..................................................the three digit security code.(on reverse of card) ... ... ...

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