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Name:	Date Rec,d:
Address:	E-Mail Address
	Payment By: International Money Order,
	Bank Drafts, Visa, Master Card,
Country	JCB, Visa Delta, Switch, Visa Purchasing,
Telephone No	£-Sterling Accepted.(Postal Orders UK only)

Credit Card Details
Issuing Bank..		Credit Card Type
Credit Card No            sssssssssssssssssssssss.Security number (on signature strip)		Card Holders Signature
Expiry Date       /	Issue Number

Code No	Item	Qty	Unit Price	Total

Mail order Address:	Total of miniatures:
Museum Miniatures.	Postage:
28 Long Lane, Driffield, E. Yorks. YO25 5HF  UK.	Total  Due