Order Form

Please print this out and send it with your payment to:

• Derek & Merlin,
  15, Lime Avenue,
  Lillington,
  Leamington Spa,
  Warwickshire.
  CV32  7DE
  United Kingdom.

I'd like to buy:  (name of panto)

On a DS/DD 3.5" floppy disk / send as an e-mail (please delete one)

My word processing software is:

If we can't match it we'll send the text in ASCII format.)

My Name is:

Full Postal Address:

Property
Street
Village
Town
County
Post Code
Country

My e-mail address is:

I enclose a cheque for £25 sterling made out to Derek Dwyer. 
(We regret that we cannot take credit cards.)

Signed.

Dated.

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