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                                             VINYL REPLICA
                                                                                                       ORDER FORM

 PRINT THIS ORDER FORM AND SEND IT WITH
  YOUR MEDIA AND A CHEQUE/MONEY ORDER
  TO THE ADDRESS BELOW.

 SEND TO:                                                                   CUSTOMER NAME ............................................

                        VINYL REPLICA 
                        14 Abbot Croft                                       Address ..............................................
                        Westhoughton                                                       ...............................................
                        Lancashire BL5 2ET                                            ...............................................
                                                                                                
                                                                                         County  ........................     Postcode ................
                                                                                         Email address ....................................................
                                                                                         Phone No ................................

Item No     Title of LP/CD                                           Type of media               Album*          Qty           Price
                                                                                     (LP/CD/Single etc)            (x)
  












____________________________________________________________________________________
                                                                                                                                
              PLEASE ENCLOSE CHEQUE/MONEY ORDER FOR THIS VALUE-->  Total order value_________

                         I HAVE READ THE CONDITIONS OF ORDER AND AGREE TO THEM.

   To assist us please detail below any known damage to media i.e. bad scratches, warping etc.






*Album collections:  Please name each track you wish transferred to CD on the reverse of this form 
and from which LP it originates

Noise elimination can reduce some higher frequencies.  Please indicate your choice.

                  Maximum noise reduction   Preserve high frequencies where possible   You decide best solution