THE COMPANY SCOTLAND - ORDER FORM (WWW) PLEASE WRITE IN BLOCK CAPITAL LETTERS =============================================================== | Item code | Description | Quantity | Price Each | Total | =============================================================== | | | | . | . | ------------------------------------------------------------------------------------------------------------ | | | | . | . | ------------------------------------------------------------------------------------------------------------ | | | | . | . | ------------------------------------------------------------------------------------------------------------ | | | | . | . | ------------------------------------------------------------------------------------------------------------ | | | | . | . | ------------------------------------------------------------------------------------------------------------ | | | | . | . | ------------------------------------------------------------------------------------------------------------ | | | | . | . | ------------------------------------------------------------------------------------------------------------ | | | | . | . | ------------------------------------------------------------------------------------------------------------ Total | . | ------------------------------------------------------------------------------------------------------------ Company membership number: ............................................................. PLEASE NOTE THAT POSTAGE AND TAX MAY BE ADDED OR ADJUSTED DEPENDANT ON THE DELIVERY LOCATION. PAYMENT METHOD Cheques, International Money Orders and Postal Orders can be accepted in STERLING and EURO made payable to FISH INFORMATION SERVICES HADDINGTON and sent to our office address with a copy of your order. GOODS WILL ONLY BE DESPATCHED WHEN FUNDS HAVE CLEARED. Please charge my ACCESS / EUROCARD / MASTERCARD / VISA / CASH TRANSFER CARD (e.g. Switch, Solo, Maestro, Delta, Electron) for the items ordered. CARD NUMBER: | | | | | | | | | | | | | | | | | | | | Extra digits for Cash Transfer Card: | | | | | | | | EXPIRY DATE: | | |/| | | START DATE: | | |/| | | ISSUE NUMBER: | | | Please note: Due to new security regulations, we now require the last 3 digits of the security number from your credit card (CVV/CVC). In most cases, this can be found on the back of your card on the signature strip. Security number: | | | | CARDHOLDERS SIGNATURE. ______________________________________________ CARDHOLDER'S DETAILS Mr/Mrs/Miss/Ms: .............................................................................................. Address: .......................................................................................................... ........................................................................................................................ ........................................................................................................................ ........................................................................................................................ Post Code/Zip: ......................................................................................... Country: ......................................... Daytime Telephone No.: ..................................................................................... DELIVERY ADDRESS (IF DIFFERENT FROM ABOVE) Mr/Mrs/Miss/Ms: ................................................................................................ Address: .............................................................................................................. ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. Post Code/Zip: ...................................................................... Country: ......................................... Daytime Telephone No.: ..................................................................................... Post to "The Company Scotland", PO BOX 3, Haddington, East Lothian, EH41 3TA, Scotland. Or e-mail to sales@the-company.com Or fax to +44 (0) 1620 826144