Autovending April09

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Yes please, I’d like ______ tickets / ______ tables to the AV Party.
Name: _____________________________________ Tel: _________________________________
Company: _______________________________ Email: __________________________________
Pay by card or by cheque (payable to Rephoto Publishing Ltd)*
* Pre-payment essential. No tickets will be issued before payment has been received. Receipts will be sent by return.
Payment Details
Card number
££££ ££££ ££££ ££££
Expiry Date
££ / ££
Name On Card: __________________________________________________________________
Mastercard
£
Visa
£
Delta
£
Signature of Card Holder: __________________________________________________________
Card Holder’s Address: ____________________________________________________________
Please return to Rephoto Publishing Ltd, Plough Road, Smallﬁ eld, Surrey RH6 9EZ
Av party pageAR2.indd 4 7/4/09 11:50:12
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