21A Newington Avenue, Cudworth, Barnsley, South Yorkshire, S72 8TP. Tel: 01226717452

Please print and complete this form and send it to John Clarke at the address shown above.

Please circle the subscription of your choice.

TOWERFORM DUTCH ULTRA (INCLUDING SELECT)

One Month £30-00

Three Months £80.00

Six Months £160.00

One Year £320-00

DUTCH ULTRA (INCLUDING SELECT) PLUS UK RATINGS

One Month £35-00

Three Months £90.00

Six Months £180.00

One Year £360-00

DUTCH ULTRA [INCLUDING SELECT] PLUS UK & IRISH RATINGS (FULL SERVICE)

One Month £40-00

Three Months £100.00

Six Months £200.00

One Year £400-

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I enclose a Cheque / Postal Order (made out to John Clarke) for the indicated amount of

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