ORDER FORM

Please print this form and complete, then return to:

  Nigel Carabine, Peak Lines, c/o Peak Rail, Matlock Station, Matlock, Derbyshire DE4 3NA

or E-mail your order to: nigel.carabine@btinternet.com

(together with your credit card details- if you don't want to e-mail your credit card details in full, we would suggest that you e-mail half of the number in one e-mail and then the other half the following day)

Name:___________________________________________________________________________

Address:_________________________________________________________________________

_________________________________________________________________________________

Telephone No: ___________________________________

Order:

Item Number Required Price per Item Total Price
    £ £
    £ £
    £ £
    £ £
    £ £
    £ £
    £ £

TOTAL AMOUNT OF ORDER

£

PLUS POSTAGE & PACKING @ 10% 

£

TOTAL AMOUNT OF ORDER

£

Postage and Packing will be charged at 10% of the total amount payable (free postage and packing on all DVDs and orders over £75).  For overseas orders we will advise accordingly.

I enclose a cheque in the sum of £                       

Please make cheque payable to "Peak Rail Plc"

Credit Card Number (Visa/Switch(Maestro)/Mastercard) _________________________

                                          Start Date and Expiry Date   __________     ___________

   Security Number (last three digits on back of card)    __________________________

                          Issue Number (for Switch cards only)   _________________________

                                            Your Telephone Number    __________________________

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