2012 New Year Day

To order duck(s) on-line ~

Print and pay @ Middle Rasen PO

BEFORE 5pm on 31st December.

Place £1 per duck in a sealed envelope marked "Ducks" attatch a copy of your form to the envelope and deliver to Crossroads Stores, the post office in Middle Rasen, LN8 3JS

Provided you have a firm arrangement to pay a named member of the club, you may submit this form to "register" a duck and its name "on-line". If you wish to order and will need to pay by any other method, please use "how you intend to pay" in good time.

I understand that only after payment is received, the names of my duck(s) and the owner(s) shall appear on the website

Signed ...........................................................................

Ducks numbers are allocated against orders taken.
The owner has title to the duck and its unique number for the duration of the race only.
We encourage owners to be original when naming their ducks. However, a name has no meaning except to personalise a numbered duck.

Fields marked * must be completed

*
Your name:
*
Your email:
* Duck's name Duck owner's name  
1*.
2.  
3.  
4.  
5.  

* How you intend to pay

Print now, before booking ( to print from Internet Explorer, go to top left click "file" and from the drop down menu click "print" )

Thank you for your order >>>>>

Click here for other ways of buying a duck