Print and fill in this page and post it to us or email the following details to tom@tomkemp.com:
I would like to receive a signed, numbered print of the screen-printed Analysis poster by Tom Kemp at 50 pounds, including postage and packing.
Number of posters required_______
Name_____________________________________________________
Address___________________________________________________
_________________________________________________________
_________________________________________________________
Email_____________________________________________________
Payment Method (please tick one)
______I enclose a sterling cheque for 50 pounds for each poster required, made payable to 'Twice Publishing' OR
______please invoice me (institutional purchase order required) OR
______my credit card details are (Mastercard or Visa only):
Name on card____________________________________________
Card number______________________________________________
Expiry date______________________________________________
Signature________________________________________________
Either post this form to
Twice Publishing, 53 Mill Street, Oxford OX2 0AL, UK
or email the above information to tom@tomkemp.com