(Print this file, fill it it and send it to:
Esoterica, PO Box 302, Cardiff, United Kingdom, CF2 3XP)

EITHER ------------------

Please rush me my full copy of Bert Higgins. I have enclosed
a cheque or postal order for £___________
(All cheques must be made out in Sterling only)

OR ----------------------

I am paying £___________ by VISA/MASTERCARD/JCB

Card Number:   __________________________________________

Expiry Date:   __________________________________________
	
-------------------------


NAME:     _________________________
	(Full Name as it appears on the Credit Card)

ADDRESS:  __________________________________________


          __________________________________________


          __________________________________________


TOWN/CITY:____________________________

POSTCODE: ______  ______
/ZIPCODE

COUNTRY:  ____________________________



Signature:   __________________________________________	    (Necessary for credit card orders)