Order Form for Suffolk Show DVD
Please print this page, complete (capital letters please) and send with payment or card details click to print
Please make chqs/PO's payable to 'Haylock Media Services' and post with
order form to
Haylock Media Services, Oakhill, Barking Rd, Barking, Ipswich, Suffolk, IP6 8HG
Order from
Name: ............................................................
Address: ............................................................................................
..........................................................................................................
Postcode: ..............................
Tel No: ..................................
DVD price £9.95 each plus £2.00 per order for delivery (first
class post) within UK.
Qnty 1 DVD total price £11.95
Qnty 2 DVD's total price £21.90
Qnty 3 DVD's total price £31.85
Please supply
Quantity: .......... DVD's @ £9.95 Plus £2.00 delivery=Total order value: £.............
Please allow up to 14 days for delivery of order.
Delivery address if different to above:
.....................................................................
.....................................................................
I enclose my cheque/postal order for £.................. (made payable to "Haylock Media Services")
OR I wish to pay by credit card (tick or
state card type):
Mastercard ....... Visa .......
Other (Name) ............................
Card No: ................................................. Expiry Date: ..................... Start Date: ................
Card Verification/Issue No: .............. Signed: ............................................. Date: ..........................
Name and address must be that of registered card holder.
Orders will be despatched by Haylocks and all enquiries should be made direct
to Haylocks on 01449 720228
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