Your name and home address, including postcode:

(If delivery address is different, please advise below.)

Your email address:

Contact phone number:

Please return this form to:

ASHWATER PRESS, 68 TRANMERE ROAD, TWICKENHAM, TW2 7JB

together with a cheque, payable to ASHWATER PRESS for £19.90.

OR you can pay by credit / debit card:

(YOU MAY ALTERNATIVELY WISH TO USE OUR TELEPHONE CREDIT CARD HOTLINE:  01344 624 231)

Card type (Visa, etc):                           card number:     

name on card:                                            expiry date:                  security code:

start date (if appropriate):                    issue number (if appropriate):

number of books required:

Delivery address, if different from address above: