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QUALIFLIER MEDAL
QUALIFIER MEDAL
Order Form
Please complete the following using BLOCK CAPITALS and delete (*) where applicable.
Mr*/Mrs*/Miss*/Ms* Initials: Surname:
Address:
Post Code: Daytime Tel. No:
Email:
PAYPAL: david-clark27@sky.com
PAYIT Payit on this mobile number 07539334071 - M.Clark
al CHEQUES/
POSTAL ORDERS Made payable to: Mr D Clark
MEDAL DETAILS Please photocopy this form if you require more than one engraved medal.
(Photocopy not necessary if more than one medal is required
with same engraving).
STATE YEAR OF
CRUFTS SHOWS
ENGRAVING Please complete the name of your dog in the boxes below in CAPITAL
DETAILS LETTERS and state if you would like the name on: One*/Two*/Three*
lines. The maximum number of letters allowed on each line is 16.
Please leave one box blank if a space is required between two words.
All names will be engraved in: CAPITAL LETTERS.
Start each line in the first box ALL NAMES WILL BE CENTERED
1 ST
2 ND
3 RD
Description Price including Postage Number Cost Total
& Packing of Medals Amount
Required Due
Medal – engraved @ £41.50 each £
Medal – without @ £31.50 each £
engraving
Overseas postage (£51.50 each) Overseas £
Please add £10 (£41.50 each) Postage
per medal
134 Crufts 2025