Please use this form if you wish to FAX your order
and prefer to pay by CREDIT CARD

FAX to:
0118 9813658

Complete this form using your keyboard, then print, SIGN and fax to the above number

 

 YOUR ORDER  

  I wish to order ONE Crusade board game
  for the all inclusive price of £29.95 incl. £5.00 post/packing & insured delivery

CONTACT  DETAILS 

Your E-mail Address

 

CREDIT CARD DETAILS 

I authorize Dal Cassian (gamesmaker) Ltd., to debit my Visa/MasterCard with the sum of £29.95

Name on Credit Card

We accept

Credit Card Number

the following credit cards

Start Date

Expiry Date
Card verification number What is my card verification number ?  
  This is a 3-digit number found printed in the signature panel on the back of your credit card.
It is the last three numbers immediately following the last few digits of your account number.
   
Signature    
   
   

DELIVERY DETAILS 

   

N.B. For security reasons when paying by credit card the delivery address must be the same as the card billing address

Name  
Address  
Town/City  
County  
Country  
Postcode  
Tel  
     

Your order entitles you to free membership of our Introduce-a-Friend programme
please check the box if you wish to join.

END OF FORM

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