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): ______ | |