ORDER FORM

Please return to: Kate Murray, Penpompren, Tynreithyn, Tregaron, Ceredigion SY25 6LL

Or telephone your order and payment through to 01974 298155

Ordered by

Name_________________________________________________________

Address________________________________________________________

_____________________________________________________________

______________________________________________________________

Postcode___________________________________________

Tel________________________________________________

Email_________________________________________________________

I have enclosed a cheque/postal order made payable tp 'Kate Murray' for £______________.

(please print your name and address on the back)

OR debit my Visa/Mastercard/Maestro/Solo/JCB/Electron/American Express

Card No. _____________________________________________

Valid from ______/______        Expires ______/______ Solo issue no. ______

Name on Card __________________________________________

3 digit security _______     Date ____________________

Signed______________________________________________