BACS Booking / Purchase Form

Please pay, via your bank (BACS), using the following details:

Miss J M Kilpatrick Sort Code: 80-47-23 AccNo: 01001010 Bank of Scotland.

By submitting this form, you are confirming that you will make your BACS payment today.

On receipt of your payment Jan will write to confirm your order.

Your name *

Your email address *

Your Address *

Your Telephone *

Details of Purchase(s) (+ price) *

Total Value of Purchases *

First Name

Email : info@jankilpatrick.co.uk Tel : 01854 666279, Postal Address : Jan Kilpatrick, Cul Mor, Elphin, By Lairg, Sutherland, IV274HH.