Rush Stamps Priority Internet Order Form.

To: Rushstamps, P O Box One, LYNDHURST, Hants, SO43 7PP, England

SG/Ref. Qty Country/Description Condition Price Total
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Order Total (Please add minimum 1.50 towards P&P, please allow extra for bulky items).

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Name: ____________________________________________________________________________

Address: __________________________________________________________________________

 _________________________________________________________________________________

Post Code: _____________________ Signature: ___________________________________________

Daytime Tel:______________________________ Evening Tel: _______________________________

Payment (Please tick) Minimum order 15.00 please
I will pay by cheque/cash/Postal Order ____
I wish to pay by Bank/Giro Standing Order ____
I wish to pay by Credit Card ____

Card Number: _________________________________________________ Card _________________

Expiry Date: ______________ CSC No: ____________ (last 3 digits on reverse) Date ______________

Signature __________________________________________________________________________

Please print out/save this form to disk and mail/e-mail/fax to the address above or e-mail it us as an attachment.
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