Please send completed form to
Neaves Rowing Services Ltd. Manor Barn, Church Road, Studland, Dorset, BH19 3AT.
or Fax to 01929 450019
| Name: ____________________________________________________________________________________________ |
| Club, School or University:___________________________________________________________________________ |
| Delivery Address for Order: |
| Address: __________________________________________________________________________________________ |
| Town: ____________________________________________________________________________________________ |
| County: ___________________________________________________________________________________________ |
| Postcode: _________________________________________________________________________________________ |
| Telephone: ________________________________________________________________________________________ |
E-Mail: __________________________________________________________________________________________ |
| Payment Details: |
| Cardholder Name, Housenumber and Postcode:________________________________________________________ |
| ___________________________________________________________________________________________________ |
| Card No:___________________________________________________________________________________________ |
| Valid From: ________ / ________ Expiry Date: ________ / ________ Security (CV2) Code:____________________ |
| Item No. | Quanitiy | Description | Unit Price | Total |
| Total | ||||
