Order Form

Please fill in this form, print it out (by clicking the print icon at the bottom of the form), sign / date it and then send with your payment to the address at the bottom of the page.

Thank you for completing and printing out this order form. Please ensure your details below are correct and that you have signed and dated the form. Please also ensure that you enclose your cheque for £25 sterling, made payable to Derek Dwyer.

Thank you for ordering from PantoScripts.com!

I'd like to purchase the following pantomime(s):

(Please check as appropriate)
Jack and the Beanstalk Aladdin Cinderella
Dick Whittington Sleeping Beauty The Pied Piper
Rumpelstiltskin.com Treasure Island Beauty and the Beast
Mother Goose Snow White The Tinderbox

I would like my scripts(s) sent in the following format:

My name and contact details are as follows.
Name:
E-mail Address:
Postal Address:
 
Town/City:
County/Province:
Post/Zip Code:
Country:

We will send your scripts to the e-mail address above so please ensure it is correct!

I enclose a cheque for £25 sterling made out to Derek Dwyer.
(We regret we cannot currently take credit cards.)

Signed:
Date:


Now click here to print this form!

Now please post this form, with your payment, to the following address:
Derek & Merlin
15, Lime Avenue
Lillington
Leamington Spa
Warwickshire
CV32 7DE
United Kingdom