| Personal Details | ||
| Your name: | ..................................................................................................... | |
| House Number/Name: | ..................................................................................................... | |
| Street: | ..................................................................................................... | |
| Town: | ..................................................................................................... | |
| County/District: | ..................................................................................................... | |
| Postcode/Zip Code | ..................................................................................................... | |
| Country: | ..................................................................................................... | |
| Telephone: | ..................................................................................................... | |
| email: (Optional) | ..................................................................................................... | |
| Order | Price (Each) | Quantity Required |
| Market Cross Penzance | £45.00 | .............................. |
| St. Buryan Cross | £50.00 | .............................. |
| Sancreed Cross | £55.00 | .............................. |
| St. Paul de Lyon Cross | £60.00 | .............................. |
Please Specify Chain Length |
||
| 16" - 20" Fine Chain | £12.00 | Length..............Quantity............... |
| 22" - 24" Fine Chain | £14.00 | Length..............Quantity............... |
| 16" - 20" Medium Chain | £20.00 | Length..............Quantity............... |
| 22" - 24" Medium Chain | £24.00 | Length..............Quantity............... |
| Please make sure you calculate your Total price correctly and add £5.50 P+P |
| Total Price: £...................... (inc P+P) | Please make Cheques and PO's payable to A. Everitt |
| Send this form to: A.Everitt, 16 Virgin Place, Mousehole, Cornwall, UK |