Private and Confidential
Please Note: Should your offer be accepted then it is the details as so entered
hereunder that will appear on the Title/Land Deeds. You are therefore respectfully
asked to give full details and to WRITE CLEARLY IN CAPITAL LETTERS.
The name of the Land Parcel required.................................................
Title required: LORD / LADY / OTHER.............................................
Current Title ( Mr/ Mrs etc) ................................................................
Full Name of First Applicant......................................................................................
Address:................................................................
..............................................................................
.............................................................................
ZIP/Postcode...........................
Country....................... Nationality:....................
Date of Birth (DD/MM/YY):..............................
Tel:....................................................................
Email:................................................................
Before submitting this application I have read, understood and accept the Terms
and Conditions as laid out and I wish to make an offer to purchase the Titles and
the land as described in the sum of £995 (Nine hundred and Ninety Five Pounds).
Signature............................................. Date.........................
Additional Name (if any) to appear on the Title/Land Documentation
Title required: LORD / LADY / OTHER.......................................
Current Title ( Mr/ Mrs etc) .................................
Full Name of Second Applicant......................................................
Address:................................................................
..............................................................................
.............................................................................
ZIP/Postcode...........................
Country....................... Nationality:....................
Date of Birth (DD/MM/YY):..............................
Tel:....................................................................
I herein state that the information so given above is true and accurate and I
understand that said information is to be used to provide me with the New Title
and name as so entered and said new Title and name are to be shown on the resultant
Land Registry Certificate as joint purchaser.
Signature................................................... Date...........................
VISA / MASTERCARD / AMEX / JCB / DELTA / SWITCH / SOLO / MAESTRO*
We cannot accept Electron
*delete as appropriate
Card number:............................................................................
CCV or CSC No. ................. (3 digits on sig. strip or 4 digits on front top right of AMEX )
Valid from:..................................................Expiry date:................................................
Issue No. (Switch/Solo/Maestro only) ................................
Name on card:.............................................
Cardholder's address:.......................................................................................................
..............................................................................................................................................
TOTAL (Please indicate which service you require)
| £995 for standard 6 to 8 week service or | |
| £1,095 for the 2 to 3 week express service |
Usual signature:..............................................
OTHER FORMS OF PAYMENTS
Please make £stg.cheques / money orders payable to: MBC
For payments by bank telegraphic transfer please ask us for our account details
Paying by credit card?
In the UK you may FREEFAX your application to: 0800 652 6641
International applications fax to the UK: + 44 207 681 2811
In the USA you may fax your application to: 707 281 7684
Mail your application and payment to:
MBC
103 Queen Street
Newton Abbot
TQ12 2BG
Great Britain