DIVERSE IMAGES ORDER FORM
	Aircraft   Price   Quantity     Total
	For Credit & Debit Cards please fill in the details below. Visa ____  Mastercard ____  Switch ____ SIGNATURE ............................................................................	Postage     Total
	CARD NUMBER  __ __ __ __   __ __ __ __   __ __ __ __   __ __ __ __  / __ __ LAST 3 DIGITS ON REAR OF CARD  ___ ___ ___ START DATE  ................... EXPIRY DATE  .................. ISSUE NUMBER  ................ Please fax your completed order form to +44 (0) 1579 389299 or send by post to Diverse Images Ltd., Redgate, Kelly Bray, Callington, Cornwall, PL17 8EX, England.
	YOUR NAME & ADDRESS  ..................................................................................................... ................................................................................................................................................. ................................................................................................................................................. ...................................................................... POST / ZIP CODE  .......................................... TELEPHONE NUMBER .......................................................................................................... EMAIL ADDRESS ................................................................................................................... DELIVERY DETAILS .............................................................................................................. ................................................................................................................................................