ORDER FORM

Order form

Please (1) print form, (2) fill in and then (3) send to: Ian Statter, 78 Keston Avenue, Old Coulsdon CR5 1HN - with your cheque

email Ian.Statter1@talktalk.net for further details

Please make cheques payable to The Centurions.

Item	Colour	Size	Number	Price	P&P	Total value
Polo shirt				£12.50	£1.00
Fleece	Navy			£15.00	£2.00
Tie	Navy			£6.00	free
Badge	-	-		£5.00	free
Handbook	-	-		free
Donation	-	-
TOTAL

Your name and address:

Name:

Address:

Postcode:

Tel. no. email:

Centurion number: