| RIDGEQUEST LIMITED Registered
Office, Croft Lane, Croft, Nr Skegness, Lincolnshire, PE24
4PA. |
Registered
in England number: 1266020
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VAT number: 310819582 |
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| Tel: +44 01754
880512 Fax: +44 0870
7058659 Email: enquiries@ridgequest.co.uk |
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| Name.................................................................................................................................. |
Address.............................................................................................................................
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| County/State.................................................................................................................... |
| Postal / Zip code.............................................................................................................. |
| Country............................................................................................................................. |
| Tel:
.....................................Fax:
......................................Email:
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TIME
CAPSULES
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Please
fill in the text you would like on your time
capsule in the space provided
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Approx
total number of characters 45-ish
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THIS
TIME CAPSULE WAS PLACED BY
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IN
THE YEAR.........................TO BE OPENED IN
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| SIZE |
QUANTITY |
| Time capsule 18" x 6"
x 4.75" |
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| Gas purging facility (Optional) |
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| RECTANGLE |
QUANTITY |
| 9"x 4" |
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| 12"x 8.5" |
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| 20"x 18" |
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| 30"x 12" |
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| 30"x 18" |
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| OVAL |
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| 16.5"x 11.5" |
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| 22"x 16" |
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Please fill in the text you would
like on your plaque
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Make sure you keep within the
approximate number of characters
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| Please
tick method of payment |
| Cheque |
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| Visa |
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| Mastecard |
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| Amex |
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| Switch |
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| Solo |
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| Cardholders name
........................................................................................................................................................................................... |
| Cardholders number
....................................................................................................................................................................................... |
| Expiry date
......................................................................................................................................................................................................... |
| Issue
number
................................................................................................................................................................................................... |
| (The issue
number only applies to Switch cards.) |
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Address
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| Total amount to be paid by
cheque or credit card £............................................................. |
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| Please sign your name here............................................................................................................ |
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YOU CAN POST OR
FAX THIS FORM
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