Order Form

OFFLINE PAYMENT
If you wish to pay by cheque (in Hong Kong dollars only) please print out this order form and send -- along with your crossed cheque made payable to Blacksmith Media Limited -- to 5/F, 24 Hollywood Road, Central, Hong Kong. Thanks.

Name: Address: Country: Tel. no. or email address:	__________________________________ __________________________________ __________________________________ __________________________________ __________________ __________________________________
Titles ordered: (please write clearly)		Quantity	Total (HK$)
__________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________ __________________________________		_______ _______ _______ _______ _______ _______ _______	_______ _______ _______ _______ _______ _______ _______
Grand Total (HK$) =
Cheque no.: _______________. Please make crossed cheque payable to "Blacksmith Media Ltd".

OUR PRIVACY STATEMENT
We collect customer details solely for the purpose of fulfilling your order. No user information is gathered without your permission, and no details are shared with any third party.