Print off the following Order form and complete, if you do not have a printer, write the applicable info. on a piece of paper enclosing a cheque.

Miss J. C. Harbutt
2 The Elms
Ashley Road
Bradford-on-Avon
Wiltshire
BA15 1RS

Please fill in the appropriate spaces :-


I would like to order………ChesShot @ £99.99

I would like to order………DraughtShot @ £99.99

I would like to order………ChesShot & DraughtShot @ £119.99


I enclose a cheque made payable to Miss J Harbutt for the amount of
£…………….inclusive of Postage & Packaging.

Your details :-


Name:- Contact Tel:-
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Delivery Address:- Email:-
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Signed……………………………………………..

Date………………………………………………..


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