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

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