Order Form

Please print this order form and enclose it with your cheque.

Urgent Orders
Post your order by first class mail with your cheque, select the "Postage & Packing - Fully Insured" option, which we normally send by Special Delivery, and write "Urgent" on the order with any special instructions or "needed by" date.

Please mail your cheque / postal order to:
Chard,
32 - 36 Harrowside,
Blackpool,
Lancashire,
FY4 1RJ,
England

I am ordering from:

Print the current order form.

UK Order Form

Quantity	Coin Date	Each	Total £. p.
	Postage & Packing - Second Class	£3.50
	Postage & Packing - Fully Insured	£9
Cheque enclosed payable to "Chard"			£

Please mail to:

Name :

Street Address :

Town/City :

County :

Post Code :

Country (Please circle) : England / Northen Ireland / Scotland / Wales

E-Mail Address for dispatch information (optional)

Telephone numbers (optional, but very useful in case there is a query/problem with your order)

Please note: We can supply overseas orders, postage packing and insurance extra at cost. If you prefer, please .