MAZURY CD - ORDER FORM

Please send me ______ copies of the Mazury CD
Price £11.00 per copy (including postage and packing)
I enclose a cheque, payable to Polska YMCA, for £_____

PLEASE COMPLETE IN BLOCK CAPITALS:

Name: _______________________________________
Address: _____________________________________
Post code: ____________________________________
Daytime tel: __________________________________
Email: ________________________________________

Please tick if you would like to receive information about future Mazury shows and events.

Please send your order to:
Mazury CD
Polska YMCA
20 Gunnersbury Avenue
London W5 3QL

10% DISCOUNT
FOR ORDERS
OF 5 COPIES OR
MORE

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