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Name: *

E-mail address: *

Name of School *

Date and Time of Performance *

Name of Student in performance *

I would like 1 USB Wristband at £12

I confirm I am a relative of the student in question {this will be confirmed with the School prior to shipment}

I would like to collect Order at School

I would like to Pay £4.50 for delivery

Postal Address *

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I herby agree that my data entered in the contact form will be stored electronically, and will be processed and used for the purpose of establishing contact. I am aware that I can revoke my consent at any time. By submitting this form I am committing to the purchase.

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You will receive a PayPal payment request on receipt of your order and confirmation email has been sent

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