ORDER FORM

please print out this form,
complete your order details and post or fax it (see below)

Please use BLOCK CAPITALS

Description	Price	Quantity	Total Price
Return Address:  Museum Shop, Gloucester Folk Museum, 99-103 Westgate Street, Gloucester, GL1 2PG, UK Fax: +44 (0) 1452 330495 (credit/debit card orders only) Phone  orders : +44 (0) 1452 396868  or +44 (0) 1452 396869 (credit/debit card orders only). For Terms and Conditions / Post and Packaging Prices please click here		Order Value
		Postage & Packing Charges
		TOTAL COST

PAYMENT (by cheque OR credit/debit card)

Cheque	I enclose a cheque for the total cost,
	Payable to “Gloucester City Council”

	Please charge the sum shown under “Total Cost” to
	my credit/debit card (please tick)
Credit/Debit	w  Visa       w      MasterCard
Card:	card no: _______ / _______/ _______/ _______
	expiry date:
	signature:

Your name

& Address

Address for

posting

(if not the same

as above)