AD1S Order Form

Full Name;  Sent this form to;

AD1S
Holmlea Cot
Crawick
Sanquhar
Dumfriesshire
Scotland
DG4 6ET

Full Address;
Post Code;
Phone No;
Email;
Item; Quantity; Price; Subtotal;

£

£

£

£

Postage & Packing;  

FREE

  Total;  

£

Signature;


__________________________________

 
Make cheques payable to Mr Ben Keggans, & note your address on the back, thank 
you.  Please allow 30 days for delivery (although we will aim to deliver within 14 days).