THE UNCONVENTIONAL GAGE

Book Order Form

Book Price: £;85, $160 or € 125 each plus P&P. Please send _____ Book(s). Total________.

POSTAGE OPTIONS PER BOOK

UK £;10

USA & CANADA $25 £;16

EUROPE €15 £;15

R.O.W ( including the Caribbean )£;26

Please allow approximately 14 days for UK deliveries & 28 days for all other deliveries.
We also offer a Courier Service.
If you require more information please contact us for a quotation.

BILLING ADDRESS

Title

Mr Mrs Ms Miss Dr Sir Lady Lord Other

Name

Address

Address Line 2

Address Line 3

Address Line 4

Postcode / Zip Code

Telephone

Email

DELIVERY ADDRESS (If different from above)

Title

Mr Mrs Ms Miss Dr Sir Lady Lord Other

Name

Address

Address Line 2

Address Line 3

Address Line 4

Postcode / Zip Code

PAYMENT METHOD

Cheque : Total: (inc P&P).
Please make all cheques payable to Elizabeth Gage Ltd

VISA MASTERCARD AMEX DEBIT/SWITCH ( uk only )

Cardholder’s Name:

Card Number: Security code

Start Date: Expiry Date: Issue Number ( Debit/ Switch only ):

Please debit my account (inc p&p) Cardholder’s Signature:____________________

Please tick the box if it is a gift and we will send the invoice separately.

Please print this form and return it via post or fax to:

18 Albemarle Street, London, W1S 4HR

Email: eg@elizabeth-gage.com Telephone: +44 (0)20 7823 0100 Facsmile: +44(0) 20 7495 4550