Home Cinema Choice – September 2019

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SUBSCRIPTION ORDER FORM

POST THIS FORM TO: HOME CINEMA CHOICE,

MY TIME MEDIA LTD, 3 QUEENSBRIDGE, THE LAKES,

NORTHAMPTON, NN4 7BF

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Please visit http://www.homecinemachoice.com/terms for full terms & conditions CODE HCC0919P

DIRECT DEBIT SUBSCRIPTIONS UK ONLY

YOUR DETAILS MUST BE COMPLETED

PAYMENT DETAILS

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INSTRUCTIONS TO YOUR BANK/BUILDING SOCIETY

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Mr/Mrs/Miss/Ms........................... Initial................ Surname...........................................................

Address ...................................................................................................................................................

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Postcode .............................................................. Country ................................................................

Tel ........................................................................... Mobile.....................................................................

Email ...................................................................... D.O.B ......................................................................

Mr/Mrs/Miss/Ms........................... Initial................ Surname...........................................................

Address ...................................................................................................................................................

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Postcode .............................................................. Country ................................................................

Postal Order/Cheque Visa/MasterCard Maestro

Please make cheques payable to MyTimeMedia Ltd and write code HCC0919P on the back

Cardholder’s name..............................................................................................................................

Card no: (Maestro)

Valid from...................................... Expiry date.......................... Maestro issue no......................

Signature................................................................................ Date.....................................................

Originator’s reference 422562

Name of bank.........................................................................................................................................

Address of bank.....................................................................................................................................

.....................................................................................................................................................................

................................................................................................. Postcode ...............................................

Account holder.......................................................................................................................................

Signature....................................................................................... Date ................................................

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Instructions to your bank or building society: Please pay MyTimeMedia Ltd. Direct Debits from

the account detailed in this instruction subject to the safeguards assured by the Direct Debit

Guarantee. I understand that this instruction may remain with MyTimeMedia Ltd and if so, details

will be passed electronically to my bank/building society.

Reference Number (official use only) (^)
Please note that banks and building societies may not accept Direct Debit instructions from
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Yes, I would like to subscribe to Home Cinema Choice
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Print: £48.
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EU Print: £69.
ROW Print + Digital: £78.
ROW Print: £69.
Yes, I would like to subscribe to Home Cinema Choice, for 1 year
(13 issues) with a one-off payment
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