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United Kingdom Order Form: Page 1 of 2
You must print this form, it cannot be completed online. Return it to: Black Vinyl Records, 2/2, 82 Chancellor Street, GLASGOW G11 5PW

Part 1 - Your Details

ORDERED BY
First Name:
Surname:
Address:
 
 
Postcode:
Telephone No (incl STD code):
Email Address:

 

 

 

 

 

 

 

 

METHODS OF PAYMENT (please tick)

CARD TYPE (please circle)

  • Mastercard
  • Visa
  • Visa Debit
  • Visa Electron
  • Switch
  • Solo
  • JCB

Amount payable:

Cardholder's Name:

Valid from (mm/yy):

Expires (mm/yy):

Issue Number(if applicable):

Card Number:

Cardholder's Signature:

All cheques payable to "Black Vinyl Records". Remember to sign your cheque.
Cash sent by Registered Mail is sent at buyer's own risk.

Now please complete page 2 of this form - your order details.

 

 

 

 

 

 

United Kingdom Order Form: Page 2 of 2

Part 2 - Your Order

ARTIST ALBUM TITLE LP/CD NEW? Y/N PRICE
         
         
         
         
         
         
         
         
         
         
      TOTAL:  
      P & P:  
      TOTAL  PAYABLE:  

Postage Rates: United Kingdom 1st Class
1 LP/CD: £2.00
Each Additional LP/CD: 50p

Thankyou for your custom! Remember to tell your friends about us!

Black Vinyl Records
2/2, 82 Chancellor Street
GLASGOW
G11 5PW

Tel: 0141 334 0389
Email: info@blackvinylrecords.com
Web: www.blackvinylrecords.com

 

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