Download the following form

Stitch Pics.PO Box 2744 Nuneaton CV10 7YG

Stitch Pics Club Application Form

Complete the form below (in block capitals) and send a cheque or postal order for £30 membership to the address shown above, or fax 02476 383081 giving your credit card details.

NAME____________________________________________________

ADDRESS________________________________________________________________________

_______________________________________________________________________________

POSTCODE_________________

TELEPHONE(day)_________________(evening)________________

FAVOURITE SUBJECTS TO SEW______________________________________________________

STITCHING MAGAZINES READ_______________________________________________________

SIGNATURE______________________________________________

If Using a Credit Card

Please circle one of the following.
VISA MASTERCARD SWITCH

If Using switch:- ISSUE NO.__ __(If there is no Issue number on your card please write here the start date) ___/___

CARD NO. __ __ __ __ /__ __ __ __ /__ __ __ __ / __ __ __ __ /__ __ __ __

EXPIRY DATE ____/____ SIGNATURE..........................................................

CARD HOLDERS NAME & ADDRESS IF DIFFERENT: .....................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................
PROPRIETORS R & R GILLETT E & O E

REGISTERED FOR V A T NO. 620 9226 61