Home Address |
Delivery Address |
| Name |
Name |
|
Address |
Address |
| |
|
|
Zip/Postcode |
Zip/Postcode |
|
Country |
Country |
|
E-mail address: www. |
E-mail address: www. |
|
Home tel. |
Daytime tel. |
| FOR OFFICE USE ONLY |
Date Received: |
Date Dispatched: |
Credit Card Processed: |
| Item |
Colour/Desc |
Size |
Qty |
Each |
TOTAL |
| |
|
|
|
£ |
£ |
| |
|
|
|
£ |
£ |
| |
|
|
|
£ |
£ |
| |
|
|
|
£ |
£ |
| |
|
|
|
£ |
£ |
| |
|
|
|
£ |
£ |
postage - please allow 28 days for delivery
P&P
RATES |
Order Value |
U.K. |
Overseas |
single kit top |
£2.50 |
£3.50 |
Up to £10 |
£2.00 |
£3.00 |
Up to £20 |
£3.00 |
£4.00 |
Up to £50 |
£4.00 |
£5.00 |
|
Over £50 |
£5.00 |
£6.00 |
|
SUB TOTAL |
£ |
| P&P |
£ |
| GRAND TOTAL |
£ |
I enclose my sterling cheque/postal order for the above
amount made payable to:
Queen's Park Supporters' Association
or please debit my Visa/MasterCard/Switch card.
