Please complete this form and send it to

Richard Nicholson of Chester
Stoneydale, Pepper Street, Christleton, Chester,
CH3 7AG, England

UK Orders:Telephone (01244) 336004. Fax (01244) 336138
Outside UK: (44) 1244 336004. Fax (44) 1244 336138

Name: __________________________________________________________________

Address: ________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Postcode: ___________________________________Country:______________________

Phone: ______________________Email:_______________________________________

Please send:

Ref.No.____________Title__________________________________ Price - £_________

Ref.No.____________Title__________________________________ Price - £_________

Ref.No.____________Title__________________________________ Price - £_________

Ref.No.____________Title__________________________________ Price - £_________

Ref.No.____________Title__________________________________ Price - £_________

Ref.No.____________Title__________________________________ Price - £_________

_______________________________Postage & Packing - See Rates - £ _______

___________________________________________
____TOTAL - £________

I have enclosed a Cheque for: £ ____________ Made payable to Richard Nicholson

or please debit my *Visa / Mastercard (* please circle)

No.: ___________________________________________________________________

Start Date:_____________ Expiry Date _______________ 3 Digist Security Code:___________

Name on Card___________________Signature of Cardholder______________________