Print or copy this form out, complete it, and send it with a cashier's chegue or money order to:

Roseanne James / Lightdove Art

Stella Maris,

2, Heol Crwys,

Pen-yr-Aber,

Fishguard

Pembs SA65 9EJ

West Wales,

UK

Name: ___________________________________________

Address1: ________________________________________

Address2: ________________________________________

City & State: _____________________________________

Zip or Country Code: _______________________________

Phone Number (optional): __________________________

E-mail Address: ___________________________________

State your 3 questions or issues here:

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