BLAKEY MUSIC MAIL ORDER FORM Please print this order form and forward with your payment to Blakey Music, c/o The Lion Inn, Blakey Ridge, Kirkbymoorside, York, YO62 7LQ, England or fax to 01751 417717 (international 44 1751 417717) Your Details: Name ........................................................................................ Address ...................................................................................................................................................................................... Tel. ........................................................................................ Email ........................................................................................ The above prices include UK postage, overseas customers please add £1 per item ordered Total amount of order £.................... Card Payment: Card type (please circle as appropriate): Visa Mastercard Switch Solo Card number ............................................................................................................... Valid from date..................... Expiry date..................... 3 digit security code on back of card.............. issue number (if applic.).................. Cheque Payment: Pound Sterling cheques only, payable to "The Lion Inn" please write your address & card number on the back
ITEM PRICE incl UK P+P NUMBER REQUIRED £13.00 Blakey Concert Tickets: Band/Event..................................................................... Price £................ No. Required................ Band/Event..................................................................... Price £................ No. Required................