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I am very pleased with my new Title and the documents.....
Thankyou,
J.M. USA


Private and Confidential.

Just print this out and fill in or download the PDF and Word version here.

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...........................

How did you hear about us..............................................

PAYMENT OPTIONS
CREDIT CARD PAYMENTS
Orders will be shipped to the cardholder's billing address.
VISA / MASTERCARD / AMEX / JCB / DELTA / SWITCH / MAESTRO/ SOLO *
(Sorry but we cannot accept Electron)

*delete as appropriate

Card number:..............................................

CVV / CSC No: ............. What's this?

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

- Convert Currency -

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

Whats this? - C V V or C S C
*VISA and MasterCard require the three digit Card Verification Value
(sometimes call Card Security Value) in addition to the card number. This
number is typically found written on the right side of the signature line on
the back of the card. AMEX has a 4 digit number printed on the front of the
card, above the card number. Back to field

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