Clay & Game Reloaders
Meer Booth Rd
Antons Gowt
BOSTON
Lincs
England
PE22 7BH
ORDER FORM Email claygame@aol.com
Tel / Ans: 01205-280778
Overseas +44-1205-280778

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Either fill in and Print out this form and Post to the above address
or Phone the Order through, thanks

Important :- Include delivery specified in the Catalogue

Your Name
Your Address
Your Post Code
Your Email
Your Telephone Number
   
Code Description Unit Cost(£) Quantity Total Cost(£) Delivery
  Total Excluding Delivery £
  Delivery Charge £
  Total Enclosed £

Additional Information :

E.g. Delivery query etc.

 

Payment Method :

Credit Card Number

Issue No (if present)

3 figure Security Number

Credit Card Type
Delta,Eurocard,
JCB,MASTERCARD,
SOLO,MAESTRO,VISA

 

 

 

Expiry Date

      Valid From Date 

   (last 3 digits on the signature strip)



OR :

Payment by Paypal is easy and free : please click on this link
https://www.paypal-marketing.co.uk/sendmoney/send_to_a_friend.htm
 and make a payment of the total above to "charltonri@aol.com" and select the "Personal" Tab.
(Note: this page will remain open while displaying the paypal screen)

OR :

Please Enclose a cheque (payable R I Charlton )

Signature  

 

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