AIMS Order Form

Please print this form (click here for a printer-friendly version without colour and frames, or get it as a PDF)
complete it and send it, with payment, to:

Shane Ridley,
Flat 56,
Charmouth Court,
Fairfield Park,
Lyme Regis,
DT7 3DS

Please make your cheques/postal order payable to AIMS

Item Price Qty Total
       
       
       
       
       
       
       
       
       
       
If you have ordered a T-shirt please don't forget to put the size      
Postage and packing:
  • For orders up to £15; please add £2 P&P
  • For orders over £15 and up to £25; please add £4 P&P
  • For orders over £25; please add £5 P&P
  
Donation  
Total Enclosed  

Please complete using capital letters:

Name: __________________________________________________________________
Address:: __________________________________________________________________
__________________________________________________________________
Post Code: __________________________________________________________________
Telephone number: __________________________________________________________________
Email address: __________________________________________________________________
Occupation: __________________________________________________________________
How did you hear about AIMS?: __________________________________________________________________



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Version $Revision: 1.6 $ last updated $Date: 2011/05/02 16:26:34 $ by $Author: Debbie $