Personalised Wooden Plaques Order Form

Please print out and post or fax it   (secure payment via the net not available here yet)

 The Studio, Copthorne Lane, Fawley, Southampton, SO45 1DP. UK.

Tel: 023 8089 8741  Fax: 0872 3524 741  Email: plaques@rapson.co.uk

 

You can have any words you like in any position around the plaque.
(indicate required design by marking the above clearly)

Online ordering is not secure on this site
Please print the form out, fill it in and fax or post it.

Top of Plaque .....................................................................................................

Bottom of Plaque ................................................................................................

Left of Plaque .....................................................................................................

Right of Plaque ...................................................................................................

Additional Info.............................................................................................................................

...............................................................................................................................................

...............................................................................................................................................

..............................................................................................................................................

Your Name ...................................................... Your Phone No. ............................................

I enclose a cheque (with guarantee no. on back) made payable to P Rapson for 54 which includes UK p&p (rest of the world add 10)
(Due to extortionate monthly bank fee we can not accept credit card payment any longer)
Payment can be made via PayPal for 54 which includes UK p&p (rest of the world add 10)
Please send money (via PayPal) to paul@rapson.co.uk

Please Print Clearly

 

this will be

 

used as your

 

delivery address

 

Use your

 

POST CODE please