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 _____________________