stephencummings .co.uk

Order Form

To order send this form to:

S. Cummings, 5 Bracewell Grove, Wheatley, Halifax, West Yorkshire, HX3 5HP, U.K.

Cheque or Postal Order to S. Cummings (Postage and Packing included for U.K. only).

Your Name and Delivery Address:

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

………………………………………………………………………

	Unit Cost	Quantity	Total
Birds, Bins and Bullets DVD:	£15.00
Additional overseas postage:
Total amount due: