Rugby Relics, 66 Brynhyfryd, Glynneath, Neath, SA11 5BA, U.K.

Tel - 01639 729000   -   +44 1639 729000

REFERENCE CODE

SHORT DESCRIPTION OF ITEM

PRICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

TOTAL OF GOODS

 

 

ADDRESS:

POSTAGE

 

 

 

Please leave the postage and final total blank if paying by credit card.

 

 

We will calculate and add the correct postal charges.

 

 

FINAL TOTAL

 

 

Credit Card No:……………………………….………………    ExpiryDate:………  Security No (last 3 digits) …………..