Print this page, and send your order with cheque payable to Rover SD1 Club or credit/debit card details completed below, to:

Stuart Fairley
Rover SD1 Club Shop
18 Shelley Walk
Pontypridd
CF37 5EY UK
ORDER FORM
   
Name  
Address  
   
Postcode  
Tel  
Alternative tel  
Rover SD1 Club membership number  
   
ITEM DESCRIPTION QTY SIZE PRICE
         
         
         
         
         
         
         
         
         
         
         
  Credit/Debit card surcharge, if applicable, £2*      
  TOTAL  
 
Payment method:    
Cheque / Postal Order / International Money Order  

Credit / Debit Card:
   Name of Cardholder:
   Card Type: Visa / Mastercard / Switch / Solo / Maestro (UK only)
   Card number:
   Expiry Date               /
   Signature digits:           These are the last 3 digits of the number
   on the signature panel on the back of your card.

* Note: a £2 transaction surcharge applies to Credit & Debit Card orders.
 
 
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