Mail Order Form for Fitzjohn Music Publications

Please print out this form and send it with your cheque to: 
DAVID PATRICK  45 Fitzjohn Avenue, Barnet, Herts, EN5 2HN, United Kingdom
Cheques for International Orders should only be made
payable to David Patrick and drawn on a UK Bank
Euros in cash (sent by Registered Post) may be paid with the order

 fitzjohnmusic@btinternet.com

CHEQUE MADE PAYABLE TO - DAVID PATRICK

QTY

COMPOSER

TITLE OF WORK

COST 

AMOUNT

.

.

. . £
.

.

. . £
.. . . £
.. . . £

Add amount for postage and packing from the table below: 

£

Enter the TOTAL for your order, here:

£


POSTAGE AND PACKING IN THE UK:
For orders up to £15.00 add £2.50
For orders from £15.01 up to £20.00 add £3.00
For orders from £20.01 up to £25.00 add £3.50
For orders over £25.01 add £3.50 plus 0.30p for each further £5.00 in value

POSTAGE AND PACKING OUTSIDE THE UK:  Prices on application
Please fill in your details below in capital letters:

NAME ________________________________ TEL ________________

ADDRESS __________________________________________________

____________________________________________________________

_________________________________ POST CODE _______________

E-MAIL ADDRESS ____________________________________________


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