MANCHESTER CIRCLE OF MAGICIANS
To:
Derek Lever, 32, Pilling Lane, Preesall, Poulton-Le-Fylde, Lancs., FY6 OEU
Name
...........................................................................
Address
........................................................................
......................................................................................
......................................................................................
Phone number:............................................... Fax number:...................................
E.mail
address............................................................
*I am
seriously interested in magic.
*I enclose
my £12.00 membership fee made payable to 'Manchester Circle of Magicians'
If you
wish to pay by Visa or Mastercard Credit Card (not
Switch Cards) please complete the following:
Name on
Card.......................... Credit Card
Number.........................................
Expiry
Date......................... Address
........................................................
...................................................................................................................
I agree to
pay £12.00 membership fee via the above Credit Card.
We only
accept Credit Cards for £24.00 or over.
Signed...........................................
TELL ALL YOUR FRIENDS ABOUT THE MANCHESTER CIRCLE OF
MAGICIANS