| MAIL
ORDER |
| Card type: VISA / MC (circle one) |
| Credit Card Number: |
| Expiry: |
| Card holders
name: (as it appears on the card) |
| Deliver to name: |
| Address: |
| Town: |
| County/State: |
| Post/zip code: Country: |
| No. of videos required: Total payment included: £ |
| I enclose a cheque/postal order for £15.50 per item and £2.50 p+p per copy. Signed: |
| Tel no.: |
| our address
(cut out and use if you wish) |
| Nursery Cottage
Productions PO Box 370 Newquay TR8 5YZ England |