Please print this order form and send it with your cheque to
Shaun Price, Yelland Farm, High Bickington, Umberleigh, Devon EX37 9BX

 Date.................................. Name....................................................................

 Address...........................................................................................................

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 ...................................................................Post Code....................................

 Tel.................................................... Fax........................................................

 e-mail.............................................................................................................

Stone Type...............................                           Sign Size.........................

Words to be carved into slate sign

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Font  ................................................................................

Colour of Letters - White/ Black / Ivory / Silver / Gold / Raised & Unpainted

Further Details ................................................................................................

                                               Cost of (including first 6 letters)         £..................

    Extra letters   No............       @ £...................           Total      £...................
     .....Drilled fixing holes @£1.10 per hole  (4 recommended)     £....................
     Border
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                                                                                          P&P    £......................
            
  Please make cheques payable to Shaun Price        Total   £......................

 Card Number.........................................................  Expiry Date..................
 Start Date........................
 Issue Number..................

 Card Holders Name..........................................................................

 Signature...........................................................................................

 All signs include VAT no. 682 5902 13