"FAMILY ROOTS" ORDER FORM

ORPHAN CERTIFICATES.


PLEASE COMPLETE THE FORM IN BLOCK CAPITALS

REF No(S) OF ITEM(S): -------------------------------------------------------------------------------------------------

VALUE OF ORDER: (Total cost of items at £2.00 per certificate): ------------------------------------------------------------

POSTAGE (see Table below): --------------------------------------------------------------------------------------------------

YOUR NAME:-------------------------------------------------------------------------------------------------------------

YOUR ADDRESS:--------------------------------------------------------------------------------------------------------

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YOUR TEL. No.:- -------------------------- YOUR EMAIL ADDRESS: -------------------------------------------

PLEASE RETURN THE COMPLETED FORM, TOGETHER WITH YOUR CHEQUE,
TO :

MR BOB SPILSTED AT :
4 SHEFFIELD PARK WAY, EASTBOURNE. BN23 8LA

Please make cheques payable to FAMILY ROOTS FHS.

TABLE OF POSTAGE

No. OF CERTS. UK postage OVERSEAS
surface mail
1- 4 certificates Free £0.70
5 - 8 certificates Free £1.10
6 or more certificates Free £1.50

NOTES

Add any further notes here.