Mime in Ballet - Order Form

Mime in Ballet

Order Form

Place your order as follows:

Order on-line and pay by credit card

* If you are certain of the total price, order by mail to:

Dance Teachers On-Line
PO Box 192
St. Austell PL25 3ZU
United Kingdom

[cheques payable to Dance Teachers On-Line]

Although we aim to despatch orders within seven days of receipt, please allow up to 28 days for delivery.

+ If you want to confirm details by email:

Enter your name: Title (Mrs, etc.):

Forename: Surname:

Enter the first line of your address:

Enter the second line of your address [include Post/Zip Code]:

Country [type first character for speed select]:

Telephone number: Fax number:

Email address:

Please supply:

Product	Quantity required
Mime in Ballet

I wish to pay by:

Cheque
Credit card
Direct bank transfer