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 | TOTAL (GBP) |
| TOTAL (GBP): | |||
| Postage TOTAL (GBP): | |||
| ORDER TOTAL (GBP): | |||
CREDIT CARD CUSTOMERS ONLY: Card Type: Mastercard / / Visa / Visa Delta
Card No. __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Name (as on your credit card) ________________________________ Expiry Date _______/________
Signature ________________________________________ Date ______/_______/______
NOW send your order BY POST (NO callers please) to:
LRTA PUBLICATIONS, LRTA Publications, Eaglethorpe Barns, Warmington, Peterborough PE8 6JT, U.K.
For LRTA use only: order no.