|
PAYMENT DETAILS |
Fields marked * MUST be completed. |
|
Name: * |
|
|
Address:
* |
|
|
City:
* |
|
|
State (optional): |
|
|
Postcode:
* |
|
|
Country:
* |
|
|
Email
address: * |
|
|
Telephone:
*
|
|
|
DELIVERY
ADDRESS ( leave blank unless delivery address is different) |
|
Delivery
Name: |
|
|
Delivery Address : |
|
|
Delivery
City: |
|
|
Delivery
State: |
|
|
Delivery
Postcode: |
|
|
Delivery
Country:
|
|
|
Delivery
Email:
|
|
|
Delivery
Telephone:
|
|
|
OTHER INFORMATION |
So then... |
|
|
About yourself... |
|
Are you interested in being a Tales contributor? If so, we will send you briefs for future issues of the magazine.
|
| |
|
Do you wish to receive
occasional information on products or services that Tales feel may
be of interest to you? (Data Protection Act) |
| |
|
|
|
|