The Mersey Wreckers Printable CD Order Form

 

 

 

Please print clearly using BLOCK CAPITALS

 

NAME

 

 

INVOICE CARDHOLDER’S ADDRESS

 

DELIVERY ADDRESS (IF DIFFERENT)

 

 

 

 

 

 

 

 

 

 

 

 

POSTCODE

 

 

TEL

FAX

 

POSTCODE

EMAIL

 

TEL
         

 

Title

QUANTITY

TOTAL
The 'Echoes from Liverpool' CD (£7.50 plus £1.75 P&P)

 

 

 

 

 

 

TOTAL

 

 

Method of payment

 

CHEQUE enclosed

 

PAYMENT BY BACS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VISA

 

MASTERCARD

 

SOLO

 
MAESTRO

 

 

Please quote card number and expiry date

        Maestro only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Maestro only

Valid from

 

 

 

 

Expiry date

 

 

 

 

 Issue number

 

 

 

 

  

 

 

 

Please quote the last three digits of your security number.

Which is the long number on the back of your card

 

             

 

FOR OFFICE USE ONLY

 

CARDHOLDERS SIGNATURE

Please sign below

 

Tel: 0151 336 4006

Post to: CD2008, 2 Brook Hey, Parkgate, Wirral, Cheshire CH64 6TH