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	TO ORDER by POST:
PRINT THIS FORM	COMPLETE IT	CALCULATE TOTAL PRICE
MAKE CHEQUE PAYABLE TO: 'POPPY RECORDS'
POST IT TO THE ADDRESS BELOW

ORDER FORM NAME: .............................................................................................................. POSTAL ADDRESS: .............................................................................................. . . . . . . . ........................................................................................................... . . . . . . . ....................................................................... POSTCODE: ................... E-MAIL ADDRESS (optional) ................................................................................... (Information given on this form will not be disclosed to a third party for marketing purposes)
Serial No	Title	Qty	Price each	Total price
HXP101	Phonofossils 1		£9.00
HXP102	Phonofossils 2		£9.00
HXP103	Phonofossils 3		£9.00
HXP104	Phonofossils 4		-
HXP105	Phonofossils 5		-
Post and packing free of charge			£0.00	£0.00
Purchase			TOTAL
Please supply and consign these goods to the above address Cheque for total value enclosed . . . . Signed: ...................................