DeGreeMiniaturesOrderForm                    

          Fax (00356)               E-mail  info@degreeminiatures.com                  

Degree Miniatures. 22 Sqaq Gan Mari  Zabbar  ZBR07    MALTA                

Customer Address                                                  Delivery Address (If different from customer address)  

Mr, Miss, Mrs, Ms. other (please delete)              Contact name                                                                          

First Name                                                                   Address                                                                                  

Surname                                                                                                                                                                        

 Address                                                                                                                                                                       

                                                                                                                                              Postcode                         

  Country                                     Postcode                                                                                                              

Description                                                         Order code      Quantity     Price Each                                       

Please make cheques payable to                                                 Postage & Packing
 'DeGree  Miniatures'                                                                   Europe add 20%                                                   

  Cash in US$ or sterling also accepted                                            Rest of theWorld  25%                               

I authorise you to debit my credit card account
for the cost of goods despatched.                                                                    Total                                               

Credit Card Number       __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Visa/ Mastercard/ Diners   (Delete as required)

If ordering by credit card please sign:                                  

Expiry date of C.Card          /                                     Name on C.Card                                       15/12/2001