YOUR NAME:

RETURN ADDRESS:



POSTCODE:

e-mail address:

METHOD OF PAYMENT: (UNDERLINE)

CHEQUE---- POSTAL ORDER

CASH----INTER. MONEY ORDER

AMOUNT:

REMOTE JAMMER IS: 100 pounds
(Other E.U. Countries 190 Euros)
U.S.A./Rest of World $250)
INCLUSIVE OF P&P.
Sent by recorded post
wherever you order from!


RETURN TO:

D.WATT
P.O. BOX 9063
GLOUCESTER
GL1 4YU
U.K.

P.O. BOX MAIL IS CHECKED DAILY, SO NO DELAYS! THANK YOU.

This form will print in black and white automatically, no logos.

If you are a U.K. CUSTOMER and are sending CASH or POSTAL ORDERS then the REMOTE JAMMER will be sent 5 days earlier than if you pay by cheque, to allow for clearance. Try and use recorded delivery for cash.

Thank-you! (Tick as appropriate)

CASH:



POSTAL ORDERS:


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