MILLWALL CLUB SHOP CATALOGUE 2012-13

ORDER FORM
Please supply the following:
Order code Description Size Quantity Price Total Price
(quantity x price)
Postal charges:
Orders £10 and over: Mainland UK £6.25 Europe £13.99 Rest of the World £22.75
Orders under £10: Mainland UK £2.99 Europe and Rest of the World please contact the club shop
YOUR DETAILS
(Cardholders address if paying by credit or debit card)
Signature
Surname
First name Mr/Mrs/Ms/other
Address
Day telephone:
Evening telephone:
Mobile:
Email:
Postcode
Send your completed order form to:
Catalogue Sales, Millwall Club Shop, The Den,
zampa Road, London SE16 3LN
Simply complete this order form and post with payment to:
Catalogue Sales, Millwall Club Shop, The Den, zampa Road, London SE16 3LN
DELIVERY ADDRESS
(if not cardholders address)
Surname
Sub Total
Post & Packing
Total Value
First name Mr/Mrs/Ms/other
Address
Postcode
PAYMENT DETAILS Please do not send cash
i wish to pay by: o Postal Order o Cheque
(Cheques and Postal Orders payable to Millwall FC)
o Please charge my Visa/Mastercard/Maestro/Delta/Connect
i i i i i i i i i i i i i i i i i i i i
Expiry date i i i i i issue No i i i (Debit card only)
Start date i i i i i 3 digit security code i i i i
shop online www.mfcshop.co.uk 19