<HTML><HEAD>  <TITLE>Order Form for Widdecombe Fair poster</TITLE>
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<FONT COLOR="#563031" face="Georgia", "New Century", "serif" size="6"><b>George W. Adamson Archive</b><P ALIGN=Center><P ALIGN=Center><font size="4">c/o 90 Hertford Street, Cambridge, 
CB4 3AQ England. 
<BR>Telephone: +44 1223 313 717 <BR>Facsimile: +44 1223 313 717<FONT COLOR="#970D0D">
<P ALIGN=CENTER><H2 ALIGN=CENTER>
ORDER FORM</H2><P ALIGN=CENTER><P ALIGN+CENTER>


<P ALIGN=Left>  <HR><P><H3><I>Please send me the following:</I></H3>
<TABLE CELLSPACING="1" CELLPADDING="7">  <TR VALIGN="Top">


<TR WIDTH=90%><TH ROWSPAN=1 COLSPAN=1><TH ROWSPAN=1 COLSPAN=1><TH><NO 
WRAP>Quantity</TH><TH ROWSPAN=1 COLSPAN=1><TH>Total Cost</TH></TR>
<TR WIDTH=90%><TH ROWSPAN=1 COLSPAN=1><TD><NOWRAP><B><I><BIG><a href="widdecombefair.html">Widdecombe Fair Poster</a></I></BIG></B></TD>
</TD><TD>..............</TD><TD>@&nbsp;&nbsp;<B>£5.99 each incl. p+p</B></TD><TD>£..............</TD></TR>
<P>


</TABLE>
<B><ul><H3>Payment details</B></H3></FONT COLOR>

<li> <table border="0">
 <tr>
  <td>Please debit my:&nbsp;&nbsp;&nbsp;&nbsp;</td>
  <td><table border="1"><td bgcolor="#FFFFFFF" width=12 height=12></td></table></td><td>&nbsp;Visa&nbsp;&nbsp;&nbsp;&nbsp;</td>
  <td><table border="1"><td bgcolor="#FFFFFFF" width=12 height=12></td></table></td><td>&nbsp;MasterCard&nbsp;&nbsp;&nbsp;&nbsp;</td>
  <td><table border="1"><td bgcolor="#FFFFFFF" width=12 height=12></td></table></td><td>&nbsp;Maestro&nbsp;&nbsp;&nbsp;&nbsp;</td> 
  <td><table border="1"><td bgcolor="#FFFFFFF" width=12 height=12></td></table></td><td>&nbsp;American Express&nbsp;&nbsp;&nbsp;&nbsp;</td>
</tr></table><P>
<li>I enclose a cheque/banker&#146;s draft in pounds sterling payable to <b>John Adamson</b>.
</ul>
<HR>
<P>
<FONT COLOR="#44332b"><A NAME="Delivery address"><B>Delivery address</B></A></FONT> (block capitals please)<p>
Name: .............................................................................................<br>

Address: ........................................................................................<br>

.........................................................................................................<br>

.........................................................................................................<br>

.........................................................................................................<br>

.........................................................................................................<br>


<P>
<HR>
<I>Please complete the order form and fax or send it to:</I><BR><FONT COLOR="#563031">George Adamson Archive,</FONT COLOR> 
c/o 90 Hertford Street, Cambridge CB4 3AQ, UK.
<BR>Telephone: +44 1223 313717<BR>Facsimile: +44 1223 313717 <P>
<A href="widdecombefair.html"><B>Back to Widdecombe Fair</B></A>
<HR><A HREF="#top">top</A><P><I>December 2014</I><!-- WiredMinds eMetrics tracking with Enterprise Edition V5.4 START -->
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