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Date........................................
Name.................................................................................
Address..............................................................................
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Email address or daytime phone number........................................
Method of Payment:
Cheque / PO / Access / Mastercard / Visa / Switch - please delete as applicable
Cheques made payable to Stanfords Charts
Card Number:
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Expiry Date ........../..........
Issue .......... (Switch only)
Signature ............................................................................
Please note that if you are paying by credit card, the address given above must be the address known to the credit card company.
I wish to order the following charts:
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Fax this form to: 01480 496109
or
Post this form to:
Imray, Laurie, Norie & Wilson Ltd
Wych House, The Broadway
St Ives, Cambridgeshire
PE27 5BT
England
Orders can now be placed online through the publishers of Stanfords Charts:
www.imray.com
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