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

Your Details

 

First Name

Mr / Mrs / Ms *

Surname

 

Address

 

 

 

Town

 

County

 

Postcode

                             Tel. Number

Email

 

Order Details

 

ISBN

Title

Unit Price

Quantity

Amount

1-905414-00-5

Lightning Force

£ 19.95

 

    £

1-905414-01-3

The Shackleton

£ 16.95

 

    £

1-905414-02-1

The Javelin

£ 16.95

 

    £

1-905414-04-8

The Sea Vixen

£ 16.95

 

    £

 

 

 

 

 

Post and Pack

        Free in UK

 

 

 

Total

   

 

    £

 

Payment Methods

By Cheque or Postal Order
Please make all cheques payable to Dalrymple and Verdun Publishing.

By Credit / Debit Card

Type

MasterCard  / Visa / Maestro / Visa Debit*

Card Number

_  _  _  _

_  _  _  _

_  _  _  _

_  _  _  _

Expiry Date

_ _

_ _

Security Number

_ _ _

Start Date

_ _

_ _

Maestro Issue No.

_ _

* Delete as appropriate

Please advise if registered address of Card Holder is different from delivery address above.

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