Order Form

IRISH MASONIC RECORDS

Name (block capitals):	____________________________________
	.
Address:	______________________________________________
	.
	______________________________________________
	.
Post Code	___________________________
	.
Signature:	____________________________________
	.
Date:	_____ / ____________ / 20__

I would like to order the digital edition of Irish Masonic records.

I confirm that I have access to a system which uses MS Windows 98 or above.

Items required:-

CDs at a cost of £30 / $45 / €35 per copy

Number Required = ______

On receipt of confirmation of this order from Bro. Cochrane, I will forward
a Sterling cheque made payable to:

Keith Cochrane,
37 Knockdene Park South,
Belfast
BT5 7AB
N. Ireland

I agree to my name being kept on a Register to be held by Bro. Cochrane on a computer system purely to enable him to contact me regarding further updates to this collection which will, from time to time, be issued by him at the production cost only, plus postage.