'WHITE HATS AND CRICKET BATS'
FOREWORD BY HENRY BLOFELD
| Date of order: ....../....../...... | ORDER FORM |
| £ |
p |
|
| Please
send me .......... copies |
||
| TOTAL
|
| Delivery Address: | Cheque or Card Holder's Address: | |
| Name: | ............................................................ | (if different from address opposite) |
| Address: | ............................................................ | ................................................................................ |
| ............................................................ | ................................................................................ | |
| ............................................................ | ................................................................................ | |
| Post Code: | ............................................................ | Post Code: ............................................................ |
| Telephone: | Home: ................................................. | Telephone: ........................................................... |
| Office (if applicable) ........................... | VISA/MASTERCARD (by post or telephone) | |
| Signature: | ............................................................ | I authorise you to debit my Visa/Mastercard |
| account with the amount of £ .............................. | ||
| Visa/Mastercard No: ............................................. | ||
| Cheques
or postal orders should be made payable to: |
Expiry Date: .......................................................... | |
| JOCELYN
GALSWORTHY |
Name (as on card): ............................................... | |
| Signature: ............................................................... | ||
Order direct by telephone or fax or send completed order forms to:
Jocelyn Galsworthy,
The Studio, 39 Latimer Road, St. Hel ens, Isle of Wight, PO33 1TG
Email: CLICK HERE
TO EMAIL THE ARTIST
Tel: 01983 873741 Mobile:
07885 542652 Fax: 01983 874182
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