Order form: Historic Bisley Picture Coasters supporting the Overseas Team Fund

Email:
First Name:
Surname:
Phone contact Number:
Address:
City:
County:
Post Code:
Country:	United Kingdom Australia Barbados Belgium Bermuda Brunei Canada China Cyprus Eire Falkland Islands France Germany Greece Guyana Hong Kong India Ireland Italy Jamaica Japan Kenya Kingdom of Bharain Kingdom of Saudi Arabia Luxembourg Malaysia Malta Netherlands New Zealand Portugal Russia South Africa Spain Switzerland Trinidad and Tobago United Arab Emirates United States Zambia Zimbabwe
Qty for collection:	Please select quantity (to be collected from Bisley) One set (£20) Two sets (£40) Three sets (60) Four sets (£80) Five sets (£100)
Qty to be sent by post within UK:	Please select quantity to be posted One set (£22.40) Two sets (£46.80) Three sets (£73.20) Four sets (£101.60) Five sets (£132.00)
Donation to Overseas Teams Fund:	No donation (£10) (£20) (£25) (£50) (£100) (£150)