Regalia Order Form

Send to:

Regalia Moto Guzzi Club GB 2 Woodlands Avenue Melton Mowbray Leics. LE13 1DZ

Name
Address
Postcode
Tel.

Item	Colour/Size	Qty	Price each	Total
UK P&P: on orders up to £10 value: £2.00   on orders from £10.01 to £20.00: £3.50   on orders from £20.01 to £35.00: £4.50   on orders over £35.00: £5.50			Order total
			P & P
			Total

Payment Details

Cash			Cheque/Postal Order (Payable to: Moto Guzzi Club GB)
Date			Signature