CineBelts Order Form for UK, Channel Islands & Isle of Man Use Only (Cheque payments)
You may also pay by Pay Pal in UK
All other countries only Pay Pal payments accepted
Click HERE to pay by Pay Pal
Order Form for UK, Channel Islands & Isle of Man Use Only
Print out this form, fill in requirements in block capitals, and send to the address below Thank you
Date.............................................
email...........................................................................................................................................................
MR/MRS/MISS/MS...........................
Name...........................................................................................................................................................
Address........................................................................................................................................................
.....................................................................................................................................................................
Post Code.............................
Belt/Manual Required...............................................................................................................................
How Many....................
Total Remitted £............................Includes 50p postage
Please make cheques/Postal Orders payable to H. McCullough, and send to:-
52. Ellis Road.
Old Coulsdon.
Surrey.
CR5 1BZ.
|