PRINT CLEARLY IN CAPITALS or TYPE
| Details | ||||
| Name: | . | |||
| Address (No./Street/Road/Apt.) | . | |||
| District: | . | |||
| Town/City: | . | |||
| County/State: | . | |||
| Postcode/Zip Code/EU code: | . | |||
| Country (if outside UK): | . | |||
| I’m paying by (tick one): | Credit Card | Cheque/Check | ||
| BOOK TITLE/S | QUANTITY | UNIT PRICE | Opt. Air Mail x Qty | TOTAL (GBP) |
| ORDER TOTAL (GBP): | ||||
CREDIT CARD CUSTOMERS ONLY: Card Type: JCB / Mastercard / Solo / Switch / Visa / Visa Delta
Card No. __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Switch Issue No. _ _
Name (as on your credit card) ________________________________ Expiry Date _______/________
Signature ________________________________________ Date ______/_______/______
NOW send your order BY POST (NO callers please) to:
LRTA PUBLICATIONS, 9 Hinderwell Road, Scarborough YO12 4BD UNITED KINGDOM
For LRTA use only: order no.