Loppylugs and the Dam - order form

Please print out this this form, fill it in and and send it with your cheque or postal order to

L.B.Lux
Toothlight Press,
PO Box 143,
Llandudno, LL30 9BN.

Your Name

 

Address

 

 

 
Postcode  

 

Number of copies at £5.25 including postage  
I enclose cheque/postal order made out to L. B. Lux for £         

Tell me what you'd like me to write in your signed copy. If you are buying more than one copy, and need something different in each, please feel free to continue on the back of this sheet.