RSOC Regalia Order Form

To order RSOC Regalia, please fill in form with your requirements, print, then fax or send to the details at the bottom of the page.

Item Description Size Colour Quantity Price Each Total

Postage & Packing.

Sub Total

Orders up to £ 25 = £ 2.50
Orders up to £ 40 = £ 3.50
Orders up to £ 50 = £ 4.50

For items marked * Postage is £8.00
Orders Over £50 postage £9.00
* Overseas postage rates available on request.

P & P

TOTAL

Name.

Membership No.

Address.

Post Code.

Telephone.
Payment Details.

I enclose a Cheque / Postal Order for made payable to The Ford RS Owners Club or

Please Charge my Visa / Mastercard / Maestro

Cardholders Name

Card Expiry Date

Card Number

Switch Issue Number

 Last 3 digits on back of card (Security Code)

Cardholders Address

Signed

Date

Please send completed order forms to:
Maxine McCready PO Box 10, Ystrad-Meuring SPSO, Dyfed SY25 6BP
08702 406216