Order Form -  Church of Our Lady

Name:

Address:


Post Code: 					email:
Telephone No:

Order

Ref No.Cool7 _______ 

No @ 8x6             x £10.00 = £
No @ 8x10            x £15.00 = £

Ref No.Cool7  _______

No @ 8x6             x £10.00 = £
No @ 8x10            x £15.00 = £

Ref No.Cool7  _______

No @ 8x6             x £10.00 = £
No @ 8x10            x £15.00 = £

Ref No.Cool7_______  

No @ 8x6             x £10.00 = £
No @ 8x10            x £15.00 = £
				--------				
Total				£
				========
Cheques made payable to Gary Maxwell
or
Credit card No :				
Start Date:
Expire Date:
Security No:
Issue No:
All credit card payments need the address and post code filled in at top of form