CD ORDER FORM

Raymer Sound Apsley House Courtland Road Wellington Somerset TA21 8ND United Kingdom Phone/FAX : +44 (0)1823 662160

PLEASE PRINT CLEARLY Deliver to : Name.................................................................................................................................. Address.............................................................................................................................. ........................................................................................................................................... ........................................................................................................................................... Post Code / ZIP..................................................... Telephone No. ..................................................... Date ..................................................... Please supply : Quantity Title Cat.No. Price .................. ........................................................................................ ................................ .............................. .................. ........................................................................................ ................................ .............................. .................. ........................................................................................ ................................ .............................. .................. ........................................................................................ ................................ .............................. .................. ........................................................................................ ................................ .............................. Payment by cheque / postal order / I.M.O. (UK Sterling only)              Total £....................... I enclose my cheque for £..................... (made payable to Raymer Sound) Payment by Credit / Debit card Please charge my card account with the total payable above. Mastercard Visa Switch / Maestro Switch / Maestro issue no. Name of issuing Bank : .......................................... Card Security Code* *last 3 digits on signature strip Card No. /// Switch / Maestro only Card valid from / to / Signature................................................................ If name and delivery address is different from cardholder's, please ensure that cardholder's name and address is clearly shown on the reverse of this order form. Credit / Debit card orders are welcome by post, by telephone or fax at any time. Tel / Fax +44 (0)1823 662160. Thank you for your order Back to 'How To Order'