| Bug Jam DVD/Video Order Form |
| Name: |
Date: |
| Postal Address: |
| |
| Post Code: |
Country: |
| Phone No: |
Mobile No: |
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| Video Description |
Price |
Quantity |
| Bug Jam 21 (DVD) |
£14.99 |
|
| Bug Jam 20 (DVD) |
£5.00 |
|
| Bug Jam 19 (DVD) |
£5.00 |
|
| Bug Jam 18 (DVD) |
£5.00 |
|
| Bug Jam 18 (Video) |
£3.00 |
|
| Bug Jam 17 (Video) |
£3.00 |
|
| Postage & Packaging: Single DVD/Video £2, Multiple DVDs/Videos £3.99
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Total: |
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| Your Credit Card Details (we do NOT accept American Express) |
| Credit Card Type: |
Card Holders Name: |
| Expiry Date: |
Start Date: |
Issue No.(Switch Only): |
| Card No. |
| Card Security Code (The final 3 digits printed over the top of the signature strip): |
| Card Holders Address (if different from Postal Address): |
| |
| Postcode: |
Country: |
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| Cheques and postal orders made payable to: Santa Pod Raceway |
| Post orders to address: Santa Pod Raceway, Airfield Road, Podington, Wellingborough, Northants, England. NN29 7XA or Fax: 01234 782818 |
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| Thank you for your order. Enquiries Tel: 01234 782828 |
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