Dalrymple & Verdun Publishing - Order Form
Please print then complete this Order Form and return with payment to: Dalrymple & Verdun Publishing 33 Adelaide Street Stamford PE9 2EN |
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Your Details |
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First Name |
Mr / Mrs / Ms * |
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Surname |
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Address |
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Town |
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County |
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Postcode |
Tel. Number |
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Order Details |
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ISBN |
Title |
Unit Price |
Quantity |
Amount |
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1-905414-00-5 |
Lightning Force |
£ 19.95 |
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£ |
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1-905414-01-3 |
The Shackleton |
£ 16.95 |
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£ |
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1-905414-02-1 |
The Javelin |
£ 16.95 |
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£ |
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1-905414-04-8 |
The Sea Vixen |
£ 16.95 |
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£ |
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Post and Pack |
Free in UK |
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Total |
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£ |
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Payment Methods
By Cheque or Postal Order
By Credit / Debit Card
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Type |
MasterCard / Visa / Maestro / Visa Debit* |
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Card Number |
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Expiry Date |
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Security Number |
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Start Date |
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Maestro Issue No. |
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* Delete as appropriate |
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Please advise if registered address of Card Holder is different from delivery address above.