Untitled Document

ASSERT Order Form

Quantity Total
DVD's - £2 each

plus postage at £1 each UK, £2 each Europe, £3 Other

Poloshirts - £11.50 each Small

Medium

Large

X-Large

XX-Large ...............

Baseball caps - £5.75 each One size

Order Total:

Name: ......................................................................................................

Address: ......................................................................................................

......................................................................................................

......................................................................................................

Postcode: ......................................................................................................

Please send your completed order to:

ASSERT, Freepost, PO Box 1369, Musselburgh, EH21 6XZ

Please make cheques payable to ASSERT

		Quantity	Total
DVD's - £2 each
plus postage at £1 each UK, £2 each Europe, £3 Other

Poloshirts - £11.50 each	Small
	Medium
	Large
	X-Large
	XX-Large		...............

Baseball caps - £5.75 each	One size
		Order Total:

Name:	......................................................................................................

Address:	......................................................................................................

	......................................................................................................

	......................................................................................................

Postcode:	......................................................................................................