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personal information
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Name(First & Last)
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invoice address
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Street address
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Address line 2
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Address line 3 (Town/city)
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Address Line 4 (County)
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Postcode / Zip
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Country
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Email address
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Phone
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mailing address (if different)
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Street address
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Address line 2
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Address line 3 (Town/city)
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Address line 4 (County)
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Postcode / Zip
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Country
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payment method
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Method
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If you choose to pay by UK cheque, Bank Draft or Money Order please make
it payable to:
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Millennium Records Ltd. 6 Water Lane, Kentish Town Road, London NW1 8NZ
ENGLAND
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Once your Bank Draft or Money Order has been received, or your cheque
has been cleared, your goods will be dispatched immediately. Please allow
7 - 10 days for processing and delivery.
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This form is on a secure server, however if you prefer to phone-in your
card details, please call:
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From outside the UK
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Phone: ++44 207 482 0272
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From UK
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Phone: 020 7482 0272
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credit card information
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Card type
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Name of cardholder
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Card number
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Issue number/start date (Switch/Solo only)
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Expiry date
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Shipping
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