Order Form - Pensychnant Gallery Prints

Please send me the following items

 

Ref No eg BM001
Title
Quantity
Price per item
Total Price
1          
2          
3          
4          
5          
6          
7          
8          
    Post & Packaging  
3.00
3.00
        Grand Total  
  My Address details:  

Please send Print(s) to:

      (If different address)
Name ____________________ Name ____________________

Address

 ____________________

Address

 ____________________
  ____________________   ____________________
  ____________________   ____________________
Email ____________________   ____________________

Please print off and complete the order form and send with a cheque for the total amount - including £3.00 for postage and packaging to:

The Pensychnant Foundation, Pensychnant, Conwy, Wales, LL32 8BJ
I have enclosed a cheque made payable to the 'Pensychnant Foundation'
Tick here if you would prefer not to receive further communication from the Pensychnant Foundation.

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