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

BOOK TITLE

PRICE

QTY

AMOUNT
B001 Until I Saw Your Foot

£6.00

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B002 Images of England - Stourport on Severn

£9.99

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B003 Traffic & Transport in 19th Century Kingswinford

£3.00

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B004 Lock Keeper's Daughter

£7.99

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B005 Ramlin Rose

£8.99

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B006 I'd Go Back Tomorrow

£15.00

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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.