This is an old-fashioned mail order style form. You need to print out this form and fax it to us or snail-mail to the address below. Please allow 14 days for delivery to UK addresses. We will be away for 3 weeks from 19th July to 9th August 2001 so allow a few extra days during that period.

Order Total. £ __________________________ (Add £1.50 p&p for UK customers, £5.00 for non-UK orders)

Customer Name:_______________________

Delivery Address.

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____________________________________

Daytime phone________________________

Email Address________________________

Method of payment : Sterling cheque with order / Credit Card ( Access / Visa / Mastercard )

Name as it appears on card ____________________

Credit Card Number __________________________

Expiry date:____/___/____

Signature of cardholder

__________________________

FAX TO - 01442 216150 ( international - +44 1442 216150 )

Or Mail to -

Club Arnage
PO Box 532
Hemel Hempstead
HP1 1FP