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.