GARY WALKER SHOP - ORDER FORM

Please complete this order form, print it, and send it with your payment (GB£, €, or US$ in cash, or GB£ cheques made payable to Gary Leeds) to:

 Gary Walker, PO Box 14594, Birmingham, B31 9DF, UK

Item

Qty

No 1

Qty

No 2

Qty

No 3

Qty

No 4

Qty

No 5

Qty

No 6

£, € or $ Total

'The Sun' Vinyl Single

'Picnic at White Rock' CD

Coasters

 

Magnets

 

Pens

 

Key Rings

 

Magazines

 

Grand Total (including postage and packing)

 

YOUR NAME, ADDRESS AND EMAIL

 Name:

 Address:

 

 Email: