Silksworth History & Heritage Group
Merchandise Order Form
(Please print out this form then complete it and forward it with your remittance.
Item 1: The Story of Silksworth - Volume I ..................... (qty) ...... @ £5.00 each = £ ............................
Item 2: The Story of Silksworth - Volume II .................... (qty) ...... @ £4.50 each = £ ............................
Item 3: The Story of Silksworth - Volume III .................. (qty) ...... @ £4.00 each = £ ..........................
Item 4: Scenes from Silksworth - 1952-2002 ................. (qty) ...... @ £5.00 each = £ ...........................
TOTAL DUE ................................................................................................................ £ ............................
Please forward your completed Order Form with your cheque (made payable to Silksworth History & Heritage Group) to Silksworth History & Heritage Group, 20 Sorley Street, Millfield, Sunderland, SR4 7UU
Name & Address to where the goods should be sent to:-
Title: ......................................................................
Name: ......................................................................
Postal Address: ....................................................................
Town: ......................................................................
County: ......................................................................
Country: ......................................................................
Post Code: ..............................
E-mail: ...................................................................... (optional)
Tel. No: ...................................................................... (optional)
