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Questions? contact me by e mail , or phone 01736 754298 or 07813878326

 

Cheque or Money Order Payments only Please

Please print this form if you wish to place an order.
After filling in your details mail this form along with your cheque or money order payment to:

Alan Bennett,
3, Cedar House,
Fore St.
Lelant,
Cornwall,
TR26 3JP

Please enter your details below

Name: ____________________________________________
Address:__________________________________________
City\Town:________________________________County:_______
Postal Code: ________________

Order Info:

  Title of Painting                                    P&P       Total   
__________________________|_________|______|______|
__________________________|_________|______|______|
__________________________|_________|______|______|
__________________________|_________|______|______|
__________________________|_________|______|______|  
                                     TOTAL  |_______ |