CENTENARY BOOK
I would like to order …………….. Book(s) at £30.
Plus P&P per Book £……………..P&P: UK: £13.00 for one, £16.00 for two.

Europe: £25.00

Rest of the World: Airmail £40.00 or Surface mail £26.00

PAYMENT SUMMARY

NUMBER	EVENT	COST
	Centenary book including postage if any
	TOTAL

UK : I enclose a Cheque for £…………….. made payable
to ‘The Golden Retriever Club’

Please post cheque and this form to the address on the back.

OVERSEAS : Please charge my Credit Card with £……………..Type of Card: Visa ………… Mastercard …………… Delta
…………… Switch …………. (TICK ONE)
Card Number: ………………… /………………. /…………….
/……………. Expiry Date: ………… /…………
Security Code (last 3 numbers on back of card): ……………
Signature: ………………………………….Date:…………………

YOUR DETAILS Please print clearly
Title (Mr, Ms, Mrs, Miss):……………….Name:……………………………………………………………………………………………
Address:……………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………….
Country:………………………………………………………..
Postcode/Zip Code:…………………………………………………………
Telephone:………………………………………………………Email:……………………………………………………………………………

Print Form Here

Please print the form, fill in, scan & email to dgmannings@gmail.com
or post to, Dave Mannings, Victoria House, 7 Haines Hill, Taunton,
Somerset, TA1 4HN