ORDER FORM

ORDER TO:    MR G.TULLY

                        APARTARDO CORREOS 158

                        PLAYA BLANCA

                        LANZAROTE

                        35580

                        LAS PALMAS, CANARY ISLANDS

FROM:            ________________________________________________________________________

ADDRESS:     ________________________________________________________________________ 

                        ________________________________________________________________________

PLEASE MAKE ALL CHEQUES PAYABLE TO: G.TULLY

CHEQUES IN ANY CURRENCY EQUIVALENT TO THE EURO AMOUNT ARE ACCEPTED