|
|
| Name |
__________________________________ |
|
|
| Address |
__________________________________ |
|
|
|
__________________________________ |
|
|
|
__________________________________ |
|
|
| Town/City |
__________________________________ |
|
|
| County |
__________________________________ |
|
|
| Post Code |
__________________________________ |
|
|
| Country |
__________________________________ |
|
|
| email |
__________________________________ |
|
|
| Tel. no. |
__________________________________ |
|
|
| Card Details |
Number____________________________ |
|
|
|
Expires _________ Valid from _________
|
|
|
|
Card Type ____ Issue (switch/solo only) ___
|
|
|
|
Security code (final 3 digits on signature strip) ______ |
|
Artist
___________________
|
Title
__________________ |
£ |
Artist
___________________
|
Title
__________________ |
£ |
Artist
___________________
|
Title___________________ |
£ |
Artist
___________________
|
Title___________________ |
£ |
|
Add P&P (75p
UK. £1.50 ROW) |
|
|
TOTAL |
£ |
|
|
| Please
print this page, complete and post or fax with payment details, cheques payable to Fish Records, to : |
|
|
| Fish
Records, 18 Longhirst Gardens, Shrewsbury, SY3 5PF |
| Fax
+ 44 (0) 1743 354354 |