Your details

First Name
Family Name
Email address
Phone number
Address 1
Address 2
City
Postcode/Zip
County/State
Country

Delivery address if different

Sculpture(s)

1 price
2 price
3 price
4 price
5 price
   
    Total
Please supply the sculpture(s) listed

 

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

 

Dated........................................

Please print and send this form with your cheque made payable to David Goode Sculpture Ltd

David Goode Sculpture Ltd. 400 Meadow Lane, Oxford. OX4 4ED. UK . Tel. 01865 717966

To pay by credit card please complete the following:
Card Number: Expiry date
Start date (if known) Security code
Please note that if a sculpture is not marked 'in stock', the casting time is 3 to 4 months from date of order