Order Form for the Book 'Luppitt, Parish, Church, and People'

To:

Mr Peter Sage,
Luppitt History Book,
25 Scott Road,
OXFORD.
Oxfordshire
OX2 7TD

Please can you send _____ copy(ies)  of the book about the history of Luppitt 
titled
'Luppitt, Parish, Church, and People'.

My address is:

Name:          ____________________

Address 1:   ____________________

Address 2:   ____________________

Town:          ____________________

County:        ____________________     

Postcode      ____________________

Country:     ____________________


I enclose payment of £7.50 per copy plus £3.00 per copy Post & Packing. 

This payment is in the form of a UK Sterling Cheque/Postal Order to
the value of    ______  MADE PAYABLE TO: ' LUPPITT LOCAL HISTORY GROUP'

I understand that the money will be drawn before the goods are despatched, and 
delivery may take up to 28 days.

If you wish to order from a country other than the UK, please contact me by post 
for details, or email directly for more information

Please put any other comments or questions in the space below: