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ORDER FORM
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| Name: | Please complete the following
form, print and post - alternatively Email us your order for immediate attention
 Thank You. |
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| Address: | |||||
| Post Code: | |||||
| Country: | |||||
| Telephone: | |||||
Item |
Cost | P & P | Quantity | Total | |
Occasion - CD |
£10.00 |
£1.00 |
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| An Evening with Brighouse & Rastrick Band - CD | £10.00 |
£1.00 |
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| An Evening with Brighouse & Rastrick Band - MC | £ 6.00 |
£1.00 | |||
| Marches & Waltzes - CD | £10.00 |
£1.00 |
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| Marches & Waltzes - MC | £ 6.00 |
£1.00 | |||
| The Best of Brass - CD | £10.00 |
£1.00 |
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| The Best of Brass - MC | £ 6.00 |
£1.00 | |||
| Exaltation - CD | £10.00 |
£1.00 |
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| Exaltation - MC | £ 6.00 |
£1.00 | |||
| Hymns & Marches - CD | £10.00 |
£1.00 |
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| Hymns & Marches - MC | £ 6.00 |
£1.00 | |||
| Triple Champions - CD | £10.00 |
£1.00 |
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| Triple Champions - MC | £ 6.00 |
£1.00 | |||
| Carols from Brighouse - CD | £10.00 |
£1.00 | |||
| Diamond Heritage - CD | £10.00 |
£1.00 | |||
| Lapel Badge | £1.50 |
N/A | |||
| Pen (retractable ballpoint/ black with gold lettering) | £1.50 |
£0.25 | |||
| Pencil (purple with gold lettering and rubber) | £0.50 | £0.25 | |||
| Key Fob (black leather with chrome fitting and B&R logo) | £2.00 | £0.25 | |||
| Bookmark (black leather with gold B&R logo) | £1.00 | £0.25 | |||
| Drinking Mug (unbreakable black plastic with B&R logo) | £2.00 | £0.50 | |||
| Car Sticker (self adhesive vinyl/ gold lettering on purple) | £1.00 | £0.50 | |||
| B&R Supporters Tie (French Navy with logo, gold/purple stripe) | £6.00 | £0.25 | |||
| Scarfe (college style, black/purple/gold stripes with B&R logos) | £15.00 | £1.00 | |||
| Total: | |||||
| Cheques should be made payable to:'The Brighouse & Rastrick Band' | |||||
| VISA customers should complete the following details: | |||||
| Name of Cardholder: | Card Number: | ||||
| Expiry Date: | |||||
| Forward order to: | Mr A.J Wilkinson, Patrons/Publicity Secretary, 13 Cheviot Avenue, Meltham, Huddersfield England HD7 3DW | ||||