On the Wall, City! Order Form
Transcription
On the Wall, City! Order Form
On the Wall, City! Order Form Fill in your personalised brick details Please print in block capitals. Remember to include spaces between words. Maximum of 16 characters per line. Each letter, number, space or punctuation count as one character. Single Brick - £50 each (2 lines) Brick One Gold lettering Black lettering } Please tick only one Two lines of text each line. NO more than 16 characters. 1. 2. Gold lettering Black lettering Brick Two } Please tick only one Two lines of text each line. NO more than 16 characters. 1. 2. Double Brick - £100 each (2 lines) Brick One Gold lettering Black lettering } Please tick only one Four lines of text each line. NO more than 16 characters. Gold lettering Black lettering Brick Two } Please tick only one Four lines of text each line. NO more than 16 characters. 1. 2. 3. 4. 1. 2. 3. 4. Your details Your payment details Name: Credit card Address: Switch card issue number: Valid from: Postcode: Daytime telephone number: E-mail address: Customer No: From time to time we may mail, email or telephone you with details of other offers from ourselves or carefully selected third parties that may be of interest to you. Please tick the box if you do not wish to receive these. Cash / Cheque Expiry date: / Card number: Cardholders signature: Number of single bricks @ £50 each Number of double bricks @ £100 each Total value of order £_______ Please make cheques payable to Norwich City Football Club Please send your completed order together with payment to: Lotteries Department, Norwich City Football Club, Carrow Road, Norwich, Norfolk, NR1 1JE. Call 01603 218 710 or log on to www.canaries.co.uk Terms and conditions: 1. The brick remains the sole property of Norwich City Football Club. 2. The bricks will be installed on a first-come, first-served basis at the discretion of the Club. 3. Bricks may become worn or damaged due to natural causes without liability to the Club. 4. The Club reserves the right to refuse unsuitable inscriptions. 5. In exceptional circumstances the bricks may be removed or relocated by the Club without liability for replacement.