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Evergreen

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DIRECT DEBIT PAYMENT:<br />

Order Form<br />

<strong>Evergreen</strong> Gifts<br />

162 Please complete either of the payment options and send to:<br />

Autumn<br />

This England Publishing Ltd., P.O. Box 814, Haywards Heath, Sussex RH16 9LQ.<br />

YES, I would like to subscribe to EVERGREEN for: (tick relevant box)<br />

Only 98p for the first quarter then £3.50 every quarter thereafter by Direct Debit (UK)*<br />

+ FREE <strong>Evergreen</strong> Pocket Diary — SAVING OVER 30%<br />

1 year for £15.30 (UK) or £20.48 (Overseas) — SAVING 10%<br />

2 years for £27.23 (UK) or £36.23 (Overseas)<br />

+ FREE <strong>Evergreen</strong> Pocket Diary — SAVING 10% FREE GREETINGS CARD<br />

INSTRUCTIONS TO YOUR<br />

BANK/BUILDING SOCIETY<br />

TO PAY BY DIRECT DEBIT<br />

Name and full postal address of your Bank or Building Society<br />

To the Manager<br />

Address<br />

Bank/Building Society<br />

Postcode<br />

Originator’s Identification Number<br />

5 0 3 2 1 2<br />

Instruction to your Bank/Building Society<br />

Please pay This England Publishing Ltd Direct Debits from the account detailed in this instruction subject to the safeguards<br />

assured by the Direct Debit Guarantee. I understand that this instruction may remain with This England Publishing Ltd and if<br />

so, details will be passed electronically to my Bank/Building Society.<br />

Signature(s)<br />

Please Enter Your Subscription Reference Number<br />

Name(s) of Account Holder(s)<br />

Date<br />

FOR THIS ENGLAND PUBLISHING LTD. OFFICIAL USE ONLY<br />

This is not part of the instruction to your bank or building society<br />

Bank/Building Society Account Number<br />

Branch Sort Code<br />

CREDIT CARD PAYMENT:<br />

I authorise This England Publishing Ltd<br />

to charge to my Mastercard/Visa:<br />

£<br />

Card No:<br />

Bank and Building Societies may not accept<br />

Direct Debits for some types of account<br />

Signature(s)<br />

Expiry date:<br />

Dollar prices are subject to exchange rate variation if payment is made by debit/credit card.<br />

A transaction fee may apply.<br />

CHEQUE PAYMENT:<br />

I enclose my cheque (no cash please) for:<br />

made payable to This England Publishing Ltd<br />

£<br />

This England Publishing Ltd, part of DC Thomson and Co. Ltd. may wish to contact you from time to time for marketing purposes, we<br />

may also share your information with third parties, please indicate if you DO NOT want to be contacted by post or telephone by<br />

us or by third parties. This England Publishing Ltd, part of DC Thomson and Co. Ltd. or relevant third parties may wish to contact<br />

you by email or SMS please indicate if you agree to be contacted by us or by third parties.<br />

ATM17

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