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POETRY BUSINESS ORDER FORM Date: ___________________

Smith/Doorstop

I would like to purchase the following Smith/Doorstop title(s):






For Smith/Doorstop titles and pamphlets, P&P is free in the UK, 20% of order value for overseas.

The North Subscriptions

I would like to order 1 year subscription (2 issues) of The North (12 UK, 17 rest of the world - inc P&P).

Postage and Packing

P&P is already included for The North subscriptions.

Payment

I enclose a STERLING cheque for ___________ made payable to The Poetry Business.

Or I wish to pay by VISA / Mastercard / Maestro:

Card Holder:  
Card Type:   Card Number:  
Start Date (Maestro): ___ / ___ Expiry Date: ___ / ___ Issue No. (Maestro): ___ Security Number: _____

Note: If the card isn't registered to the address below, please include your card address on the back of this order form.

Delivery Address

Name:  
Address:  
   
   
Postcode or Zipcode:  
Country:  
E-Mail:  
Telephone:  

Signed __________________________ Date _______________________

Your Privacy: Any personal details you provide will be used solely for the purpose of processing your order.


Please post this form, along with your payment to:

The Poetry Business, The Studio, Byram Arcade, Westgate, Huddersfield, HD1 1ND (until 30 June 2008) Thereafter post to The Poetry Business, Bank Street Arts, 32-40 Bank Street, Sheffield S1 2DS