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| PLEASE USE BLOCK CAPITALS | Date............................................. |
| Please charge to: Title........................... Initials............................. Surname............................................................ Address............................................................ ........................................................................ ........................................................................ Postcode.......................................................... Phone.............................................................. Email.............................................................. Method of payment (please tick one box): Cheque Paypal |
Delivery address (if different): Title........................... Initials............................. Surname............................................................ Address............................................................ ........................................................................ ........................................................................ Postcode.......................................................... Phone.............................................................. Email.............................................................. |
| Catalogue number | Breed name | Description | Colour | Quantity | Price per item | Total | |
| Example... 63-091 | Labrador Retriever | Small standing dog | Bronze | 1 | Price | Total price | |
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| Total goods | . | ||||||
| Add: Carriage & Insurance/Postage & Packing | . | ||||||
| Total £ | . | ||||||