Please print this order form and enclose it with your check.
Our address is shown at the foot of this and every page
All Prices Include Airmail Postage
| Quantity | Monarch | Type | Finger Size | Price $ | Amount $ |
| Elizabeth II | Second Head | $600 | |||
| Elizabeth II | First Head | $600 | |||
| Elizabeth II | Year 2000-2009 | $600 | |||
| George V | First Head | $605 | |||
| George V | Small Head | $605 | |||
| Edward VII | $605 | ||||
| Victoria | Old Head | $610 | |||
| Victoria | Jubilee Head | $620 | |||
| Victoria | Young Head Saint George | $630 | |||
| Victoria | Young Head Shield | $675 | |||
| Any Above | Your Choice Of Date Extra | $15 | |||
| Our Choice | Special Offer | $595 | |||
| Others | Extras | ||||
| Fluted Mount | Deduct | $37.50 | |||
| Box | White Leatherette | $3 | |||
| Aimail Postage & Packing | At Buyers Risk...or... | $10 | |||
| Airmail Postage & Packing | ...Fully Insured | $20 | |||
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| $ | ||||