Harry Rountree Limited Edition Prints

Harry Rountree - Limited Edition Prints

To place an order via fax please print this form, by clicking here, the completed form should be sent to +44 (0) 208 574 2383.

Please note that goods can only be shipped to the Card Holders Address.

West Middlesex Golf Club, Greenford Road, Southall, Middlesex UB1 3EE, UK (Tel. No. +44 (0) 208 574 3450).

Your Name	_____________________________________________________________________

Your Postal Address	_____________________________________________________________________
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Town/City	_____________________________________________________________________

County/State	_____________________________________________________________________

Post Code/ZIP	_____________________________________________________________________

Country	_____________________________________________________________________

Telephone Number	_____________________________________________________________________

Fax Number	_____________________________________________________________________

Email Address	_____________________________________________________________________

Number of Sets required	__________

Credit Card Type	__________________ (Visa, Mastercard, Amex etc.)

Name on Card	_______________________________________

Card Account Number	_______________________________________

Card Start Date	__________________ (mm/yy)

Card Expiry Date	__________________ (mm/yy)

3 Digit Security Code	__________________

Terms and Conditions of Sale

1. All orders will be despatched by priority mail and will be covered by Insurance.
2. Please allow 28 days for processing and delivery.
3. All returns must have a Returns Authorisation Number. To obtain an Authoristaion Number and return instructions send an email to westmid.gc@virgin.net with a Subject of 'Print Returns'.
4. Returns will be subject to a 20% processing fee.