Publications Order Form

PUBLICATIONS ORDER FORM please print this form and fax back
FAX BACK +44 (0) 20 8692 5155 TELEPHONE: +44 (0)20 8692 5050 BY MAIL: List publications, send complete shipping and invoicing instructions using the order form and send to: Interscience Communications Ltd West Yard House, Guildford Grove Greenwich, London SE10 8JT, UK	CREDIT CARD: VISA /MASTERCARD / AMEX ONLY. All credit card bookings will be made in £ Sterling and are subject to a 2.5% handling charge. EMAIL: intercomm@dial.pipex.com Please make all cheques payable to Interscience Communications Ltd Prices are subject to change without notice.
DISPATCH TO: (If different from invoice address) NAME__________________________________________________ COMPANY______________________________________________ ADDRESS______________________________________________ ___________________________________________________________________ ___________________________________________________________________ EMAIL______________________________________________________________ FAX________________________________________________________________	Invoice to: (If different from dispatch address) NAME_____________________________________________________ COMPANY_______________________________________________________________ ADDRESS________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ EMAIL ___________________________________________________________________ FAX _____________________________________________________________________
Date:___________________________________________________ Purchase Order Number: _______________________________________	EC Customers please insert your VAT/TVA/BTW/MWSt./MOMS/FPA/IVA/ALV registration number: ______________________________________

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CREDIT CARD DETAILS: (All credit card payments will be made against £ Sterling) CREDIT CARD: VISA / MASTERCARD / AMEX Card Number:______________________________________________________________ Secuirty Code :________________ Expiry Date:_________________________________ (ast 3 digits on reverse of card Signature:________________________________________________________________		Postage if applicable
		Sub Total
		Credit card fee (2..5% of sub total)
		Total Payable By Cheque or by Credit Card
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