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,
Manor Barn,
Thurloxton,
Taunton,
Somerset
TA2 8RH.
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:
|
|||
| Donation | |||
| Total Enclosed | |||
Please complete using capital letters:
| Name: | __________________________________________________________________ |
| Address:: | __________________________________________________________________ |
| __________________________________________________________________ | |
| Post Code: | __________________________________________________________________ |
| Telephone number: | __________________________________________________________________ |
| Email address: | __________________________________________________________________ |
| Occupation: | __________________________________________________________________ |
| How did you hear about AIMS?: | __________________________________________________________________ |
Version $Revision: 1.4 $ last updated $Date: 2007/03/15 13:38:58 $ by $Author: Debbie $