Back to
Merchandise
Beezumph 2007 & Ray Pickrell T-Shirt Order Form
Send completed form and payment to:
Kim Spencer - Merchandise Secretary 62 Warren Rd, Rugby, CV22 5LG, UK

Style Size Price UK Price ROW Quantity  Sub-Total

Beezumph 2007 T-Shirt

Small

Medium

Large

Extra Large

XX Large

£5.00

£5.00

£5.00

£5.00

£5.00

£6.00

£6.00

£6.00

£6.00

£6.00

__________

__________

__________

__________

__________

£ __________

£ __________

£ __________

£ __________

£ __________

Ray Pickrell Tribute T-Shirt

Small

Medium

Large

Extra Large

XX Large

£5.00

£5.00

£5.00

£5.00

£5.00

£6.00

£6.00

£6.00

£6.00

£6.00

_Sold out_

__________

_Sold out_

_Sold out_

__________

£ __________

£ __________

£ __________

£ __________

£ __________
Prices include post & packing  
TOTAL
  

£ __________



Delivery Details.    Be sure to fill in Delivery Details.
Member Name _______________________________________________
Member No. ________________
Address _______________________________________________
Town or City _______________________________________________
County / State _______________________________________________
Post / Zip Code __________________    Country _____________________
Phone No. ___________________________ Please include area code.

Payment Details
I enclose a cheque/postal order (£ sterling or Eurocheques only) made payable to:
"Trident & Rocket Three Owners Club" for the total amount of £____________  
Or ..............
I wish to pay by credit card (please tick).
  Mastercard____    VISA____    Eurocard____     Delta____
Card No. _________________________    Expiry Date_____________
Cardholder Name (as shown on card)
_______________________________________________
Cardholder Address (if different to above)
_______________________________________________
Town or City _______________________________________________
County / State _______________________________________________
Post / Zip Code __________________    Country _____________________