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A.R.C.C. MEMBER CLUBS CLASSIC OIL PRICE LIST AND ORDER FORM Organised by The Sunbeam Talbot Alpine Register in association with Witham Oil & Paint Ltd., Lincoln.

CLASSIC OIL PRICE LIST AND ORDER FORM OIL PURCHASE ORDER FORGE HOUSE, DAG LANE, LULLINGTON, SWADLINCOTE, DERBYSHIRE, DE12 8EQ. Tel ephone: 01827 373573 [email protected] YOUR

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A.R.C.C. MEMBER CLUBS

CLASSIC OIL PRICE LIST AND ORDER FORM

Organised by The Sunbeam Talbot Alpine Register in association with Witham Oil & Paint Ltd., Lincoln.

A.R

.C.C

.

MEM

BER C

LUBS

Oil

Purc

hase

Ord

er

Form

DA

TE

: _

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__

__

__

__

__

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__

_

MR

TO

NY

BL

AK

E

AR

CC

OIL

PU

RC

HA

SE

OR

DE

R

FO

RG

E H

OU

SE

, D

AG

LA

NE

,

LU

LL

ING

TO

N,

SW

AD

LIN

CO

TE

,

DE

RB

YS

HIR

E,

DE

12

8E

Q.

Te

lep

ho

ne

: 0

18

27

37

35

73

E

ma

il: t

on

yb

lake

forg

e@

ya

ho

o.c

o.u

k

YO

UR

NA

ME

, A

DD

RE

SS

& P

OS

T C

OD

E:

__

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_

AR

CC

CL

UB

& M

EM

. N

O.

__

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SH

IPP

ING

AD

DR

ES

S (

If d

iffe

ren

t fr

om

ad

dre

ss a

bo

ve

):

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P

lea

se

co

mp

lete

th

e f

orm

in

fu

ll, t

he

n p

ost

or

em

ail

to T

on

y B

lake

. P

aym

en

t ca

n b

e m

ad

e b

y c

he

qu

e,

ma

de

pa

ya

ble

to

‘S

TA

R’ o

r b

y o

nlin

e B

an

k T

ran

sfe

r /

tele

ph

on

e b

an

kin

g.

Th

e C

lub

’s a

cco

un

t d

eta

ils a

re a

s f

ollo

ws.

B

an

k:

Ba

rcla

ys B

an

k.

A

cco

un

t N

am

e:

Su

nb

ea

m T

alb

ot

Alp

ine

Re

gis

ter

Ltd

. A

cco

un

t N

um

be

r: 8

08

03

38

3.

So

rt C

od

e:

20

-23

-97

.

PA

YM

EN

T M

ET

HO

D ~

Ple

ase

tic

k a

pp

rop

ria

te b

ox:

C

HE

QU

E

BA

NK

TR

AN

SF

ER

P

lea

se

no

te th

at th

e s

ub

sid

ize

d £

4-5

0 s

hip

pin

g c

ost (U

K o

nly

) is a

pp

lica

ble

to e

ve

ry o

rde

r irresp

ectiv

e

o

f siz

e a

nd

we

igh

t.

QU

AN

TIT

Y

ITE

M C

OD

E

DE

SC

RIP

TIO

N

UN

IT P

RIC

E

LIN

E T

OT

AL

SH

IPP

ING

£

4-5

0

TO

TA

L