Order Form

World Of My Own
18 London Road
Farningham
Kent
DA4 0JP
UK
Tel: 01322 862680
Email: [email protected]
www.worldofmyownminiatures.co.uk       

ORDER FORM

    Name:          ________________________________________________________      

    Address:      ________________________________________________________
                      ________________________________________________________
                      ______________________________________ Postcode:   ________
    Country:       ______________________________________  
    Telephone:  ______________________________________
    Email:          ______________________________________

Quantity

Item No.

Description

Price Each

Price

                                                                                                   Goods total       
                                                                                                                   

                                                                                                                Postage
                                                                                                                    
        
                                                                                                                TOTAL

£               

Payment:  Send this order form with a cheque payable to: R. Lucas to the address shown above.                   Alternatively, payment can be made by credit/debit card by telephone or by completing the following details:   

                           Card holder name:  _______________________________  
                           Card Number: ___________________________________      
                           Expiry Date:   ____/____   Security Code (3 digits):  ______