Print out this form and fill it in, then send it to the address or fax number below.

Name: ____________________________________

Address: __________________________________

_________________________________________

_________________________________________

_________________________________________

_________________________________________

Telephone: ________________________________

Number of videos required at £14.99 each ________

Postage and packing, please tick as appropriate:
UK - £2.50 Elsewhere - £5.00

Credit card number: _________________________

Expiry date: _______________________________

Issue number: ______________________________

Please send your completed form to: The Hop Farm, Beltring, Paddock Wood, Kent, TN12 6PY
or fax to: +44 (0)1622 870800

If you are paying by cheque or postal order please include it for the full amount including postage and packing and make it payable to "The Hop Farm".

Thankyou for your order.