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NOW
PLEASE
PRINT THIS SECOND PAGE AND SEND BOTH PAGES TOGETHER WITH YOUR CHEQUE FOR £36 inc P&P (PAYABLE TO M
ROBINSON) TO: |
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NOW
PLEASE
PRINT THIS SECOND PAGE AND SEND BOTH PAGES TOGETHER WITH YOUR CHEQUE FOR £36 inc P&P (PAYABLE TO M
ROBINSON) TO: |
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6. Choose your words for the record label Please write clearly in capital letters
TITLE:_____________________________________________________________ ARTIST/NAME:_____________________________________________________ |
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7. Choose your words for the commemorative plaque Please write clearly in capital letters NAME:__________________________________________ OCCASION:_____________________________________ DATE (DD/MM/YYYY):____________________________ |
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8. Your Details Please write clearly in capital letters NAME:_____________________________________________________________ ADDRESS:__________________________________________________________ _____________________________________________ POSTCODE:___________ CONTACT NUMBER: ________________________________________________ EMAIL: ____________________________________________________________ Is
the record to be shipped to the above
address? Yes > If No, please fill in the details of where the record is to be sent below: NAME:_____________________________________________________________ ADDRESS:__________________________________________________________ _____________________________________________ POSTCODE:___________ |
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Please check carefully all the details you have entered. Copyright 2004 Jasminco |
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No >