Captured Cornwall - Order Form


Customer details


Name


Address Line 1


Address Line 2


Town/City


County


Postcode


Telephone No.



Card Order Details

(Cards are £2.50 each including P & P. Minimum Order – 6 Cards of your choice)


Item

Code

Title

Price

Quantity

Total

1






2






3






4






5






6






7






8






9






0






Postage and Packing

FREE

Order Total


Print Order Details - Please confirm availability of Print prior to placing your order,

(Enlargments are £24 + £3 P & P for a 12” x 8” print & £48 + £5 P & P for a 18” x 12” print)


Item

Code

Title

Size

*

Price

Quantity

Total

1








2








3








4








Postage and Packing

Order Total


*Please enter 'G' for Gloss or 'M' for Matt Finish


Payment Details


I enclose a cheque payable to P. M. LEVERS for the sum of :-

Send completed form to : Peter Levers, Captured Cornwall, Boulders, Higher Penquite, St Breward, Bodmin, Cornwall. PL30 4NX