Canal Media - Order Form

Print out and complete this order form then post it along with payment to:
D & C MARKETING - 1 RENOWN CLOSE - BRIERLEY HILL - WEST MIDLANDS - DY5 4UD

All prices shown include UK postage and packaging.

Cheques and Postal Orders please made payable to D J R Hart.
If sending a cheque, please put Name, Address, Card Number and Expiry Date on reverse.
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Order Description:
REF

MISCELLANEOUS TITLE

PRICE

QTY

AMOUNT
CZ001 Tales of the Canals in the 30's and 40's

£5.99

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CZ002 Cotton Tea Towel

£2.99

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Total

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Shipping Details
Name

Address  
Postcode
Telephone including STD Code
Email
Payment Method (tick)
CHEQUE

P.O

Cash

We will advise you of any delays in any item you order.