Jim Blanchard

Motorcycle Racing Artist

ORDER FORM

Please Print and send

 NAME................................................................................................................................................

 ADDRESS........................................................................................................................................

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

                          POSTCODE........................................................................................................................

TELEPHONE No.......................................................................................................

FAX No.........................................................................................................................

Please mail me the following prints...........................................................................

........................................................................................................Price..................

( P&P is included in UK. Oversea's please add  £3.00 All Europe, £5.00 USA & Canada and Australia & NZ £7.00 per shipment up to 3 prints.)

I enclose a cheque for.....................................(UK Only)

Or please charge this order to my credit card:

                        

                                       

Expirey date...............................

Security Number (Last three numbers on reverse)...............................

 Signed...........................................................................................................................

To telephone your credit card order please call 0044 (0)1472 352635



Or mail order form to: Jim Blanchard, 9 TootHill Gardens, Grimsby, NE Lincs. DN34 4EP. UK