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RECORD SEARCH REQUEST FORM




BEFORE YOU COMPLETE THIS FORM, READ FULLY THE INFORMATION ON
THE SEARCH PAGE AND THEN USE THE SEARCH ENGINES
ON THE SAME PAGE TO SEARCH FOR YOUR REQUIREMENTS YOURSELF

If your browser does not support forms,
or if you prefer not to complete the Form whilst on-line either :-
A Save this page to your harddisc as a text file (.TXT) and complete it off-line.
Then drag it to your e-mail window and send it as a normal e-mail message
(NOT as an attachment)
or B send an e-mail to request@fackley.co.uk with the subject
CD SEARCH FORM REQUEST and we will send you a form by E-mail.

We are registered under the UK Data Protection Act 1998 so any information
which is supplied to us will be held in the strictest confidence.

It Is MOST IMPORTANT That ALL
Sections Of This Form Are Completed.


If you are unsure about how to complete this form or anything else,
Please e-mail us for advice.

---------------------------------------------------------------------------------


1 : Date Of Request :

Please search for the following Record :-


DETAILS


2 : Title :

3 : Artist/s :

4 : Producer :

5 : Date of Production :


6 : COUNTRY of Publication :

Other Country Not Listed (please specify)

7 : SUBJECT of the Record :

Other Subject Not Listed (please specify)

8 : Language :

9 : Any additional information which may assist our search :





YOUR PERSONAL PREFERENCES
This will save a lot of time, expense and disappointment



Whilst we will try to accomodate your personal preferences, this is not
always possible and we will provide you with the nearest available alternative,
(eg.,different publisher,edition,condition,ect.,.)



10.RPM Required :
I would prefer :


11 : Please advise your MAXIMUM INCLUSIVE PRICE (up to) :
£ 10.00   £ 15.00   £ 20.00   £ 30.00   £ 40.00   £ 50.00  
Other (please specify) £  



* REQUIRED    12  How did you hear about our Service :

Other Not Listed (please specify)



YOUR EFFORTS



13  Have you read fully our Terms Of Business on the Search Page ?
Yes No
If No, Please do so before you complete this Search Form


14  Have you checked the Search Engines on our Search Page ? :
Yes No
If No, Please do so before you complete this Search Form


* REQUIRED   15  IMPORTANT : So that we don't duplicate any work already done.
Please Provide Full Details Of Any Searches Which You Have Requested
That Are In Progress Or That Have Already Been Carried Out For This Item
By Any Other Company or Yourself
:




IMPORTANT : THE FOLLOWING INFORMATION IS ESSENTIAL.
A search cannot be carried out without ALL the following personal details.





YOUR PERSONAL DETAILS

16 : Your Title  : 

Other (please specify)

17 : First Name/s

18 : Surname

19 : Postal Address
Number/Street     
Village                 
Town                  
County/State       
Other County/State Not Listed (please specify)  
20 : Zip/postal code :

21 : Country       
Other Country Not Listed (please specify)  


* REQUIRED    22 : Telephone :

23 : Fax :


* REQUIRED    24 : Email Address :

* REQUIRED    25 : Confirm Your Email Address :





IMPORTANT : Now Check That You Have Completed ALL Sections FULLY


Click ONCE only

    

We will acknowledge, by E-Mail, receipt of this Record Request Form usually within 48 hours.
IMPORTANT - If no contact is made in this time please contact us by direct E-mail or any other method.

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