Daisies Supprt Shirt Order

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Name *

Postal Address *

Contact Number

Adult £17.50 Adult

Child £17.50 Child

Postage *

1 Shirt - UK - £2.25

2-5 Shirts - UK £4.19

1 Shirt EU - £4.95

2-5 Shirts - EU £9.75

1 Shirt USA - £6.55

2-5 Shirts - £18.60

Please make payment to the following account putting your name as the reference so we can match the payment to the order

Account Name - A & P Cooper

Account Type - Premier Select

Account Number - 15088375

Sort Code - 60-18-05

IBAN - GB93NWBK60180515088375
BIC - NWBKGB2L

Order Amount

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