ORDER FORM -

*********************** Print this page *********************

TO: EASTNEY COLLECTION
From:

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

Please send me . . . . . CDs @ £12.00 (UK) / £15.00
(overseas)

Make cheques/PO's/money orders payable to
'Eastney Collection' and send to:

Eastney Collection
60 Mayford Road,
London SW12 8SN

Tel: 020 8673-6157
Fax: 020 8772-9545
E-mail: eastneycol@aol.com

............................................. OR ...................................................

[ ] Please charge my credit card:

Type ______________ * (Visa, Mastercard etc;)

Amount _________ *

Name on card ________________________ *

Signature ________________________ *

Card No: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ *

Expires __________ *

NOTE * Please ensure you fill in those fields marked with an asterisk.