Please print this order form, fill in your details in BLOCK CAPITALS and send it with your payment (cheque or postal order) to:

Kim Ismay
Suite 265
14 Tottenham Court Road
London
W1T 1JY

Name
Address
Post Code
Telephone Number (in case of query)

Please send me		Copies of Torch & Debauch
		@ £13.99 each	including P & P
I enclose a cheque/postal order for £
(please delete as appropriate)
Please make payable to Kim Ismay

Please allow 28 days for delivery

FOR OFFICE USE ONLY

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© Copyright All Rights Reserved 2005 Kim Ismay