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To Bernie Tyrrell, 44 Rawlins Road, Bradwell, Milton Keynes, MK13 9DL

Please arrange for me to receive 9 monthly copies of Jazz Guide :-

Name .....................................................................................................

Address .................................................................................................

.......................................................................Post/Zip Code  ................

Tel: .............................................

[   ] I enclose a cheque for £5 (UK only incl p&p)
                    (Made payable to Bernie Tyrrell

[   ] I enclose  £10 Sterling (Europe only incl p&p)

[   ] I enclose £16 Sterling (Rest of the World)

[   ] Tick Box where appropriate