Northern Uproar Merchandise.

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*Please print or copy this form*

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Shopping Form (To be completed in block capitals please).

Shopping Form
First Name.	_
Surname.	_
Address.	_
_
_
Country.	_
Membership Number.	_
*If under 16 years old please ask your guardian to sign*
Guardian's Signature.	_
Your Signature.	_
Date.	________/________/_______

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(Non-Members prices in BRACKETS).
Please add £1.50 P&P per item.

Black Nylon Wallet.	£5.50(£6.00)+P&P	Qty____	=£___.___
Wind-proof Lighter.	£6.50(£7.00)+P&P	Qty____	=£___.___
Mug.	£6.00(£6.50)+P&P	Qty____	=£___.___
GRAND TOTAL		£______.______

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Please send Cheque/Postal Orders (UK only). Europe and Rest of World: Bankers Draft/International Postal Order/Eurocheque (Pounds Sterling Only) made payable to: Northern Uproar Membership Club,(together with this form).

*Please allow 28 days delivery*

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P.O.Box 102,TRURO,TR1 3RF. (UNITED KINGDOM)