Moonglow:  Snail Mail in British Pounds

(1) Please complete on-screen and print this form, then mail it with your cheque.
(2) WRITE YOUR E-MAIL ADDRESS on the back of your cheque
(3) Make your cheque payable to MOONGLOW
(4)

Mail your cheque & form to: Moonglow, BCM Box 7889, London, WC1N 3XX,UK

Your Order

Entry Code Title                 Price in UK
1

2
3
4
5
6

Your Details

Attached is my  for    (No cash please)

Your Name
Email Address
Delivery Address
 
City or Town
Post Code
Country
Telephone
Date

Please add me to your mailing list   Email        Ordinary Post          Neither

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