The Official Loch Ness

Project Support Order Form

USE THIS FORM FOR ORDERING OUR SUPPORT PACKAGE ONLY
USE OUR MEMBERSHIP FORM FOR MEMBERSHIP APPLICATIONS.

Save this form to your hard drive and print it later or simply print this page now by pressing your browsers PRINT button.
Fill it out and mail it to the address at the bottom of the page.

Don't forget to read the form carefully and fill out all the sections relevant to you.

1. Personal Details

    

Your Name: ________________________________________
    

Your Address: _____________________________________
    

Your Address: _____________________________________
    

Your State/County/Region/Province : _______________
    

Your Country : _______________________
    

Your Zip/Postal Code : _______________
    

Your Telephone Number : ______________
NOTE: If you are requesting multiple project packages then please enclose the details of EACH recipient.

2. Support Package Charge

    

£15.00 Pounds Sterling (approx' $26.00 USD) per package
(price includes world wide postage).

(* delete as applicable)

I/We enclose a: Cheque / Postal Order / Bank Draft
for the amount of: ___________________.

Make payable to:

The Official Loch Ness Monster Fan Club
NOTE: Unfortunately we can only accept postal payments in UK currency. If this is not possible for you then please fill out the section 3. or use our on line Support Package Secure Credit Card Server linked from our Web Site.

3. Credit Card Option

    

Please debit my..

Delete as applicable:
Visa / Mastercard / Eurocard / Switch / VisaDelta / JCB / Electron

Total Order Amount:
_________________ 
(£15.00 Pounds Sterling (approx' $26.00 USD) per package.)

My Card Number Is :
_______   _______   _______   _______

Valid From (if applicable) : 
_______ month  _______ year

Expires on : 
_______ month  _______ year

Issue Number (if applicable) : 
_______ 

If Your Card Address Is Different To Your Postal 
Address, Please Write The Card Address In The
Space Below.

my card address is:
___________________________________________________
___________________________________________________
___________________________________________________


Your Email Address :
___________________________________________________

4. Please Sign and Date this form.

    

Signature :
___________________________________________________

Date :
___________________________________________________










5. Postage Details.

Send this form, complete with order payment to:

    THE OFFICIAL LOCHNESS MONSTER FAN CLUB
    Project Support Package
    4 Redwood Crescent
    Inverness
    Scotland
    IV2 6HB

Thank you for your order. We will email you to let you know it has been received, and when to expect your membership pack. If you have not supplied an email address then please let us know by post when your support package arrives.