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Publications |
ORDER |
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Mail: |
IMCA, 5 Lower Belgrave Street, London SW1W 0NR, United Kingdom |
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To order a publication please print this form, fill in the required details and either fax it to the IMCA office with your credit card details or post it with a cheque (in sterling) made payable to IMCA. Please note: |
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| Your Details | |
Name |
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Company |
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IMCA Member? |
[ ] Yes [ ] No |
Address |
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Telephone |
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Fax |
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VAT Number |
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| Order Details | |||
| Publication Code | Publication Title | Copies | Price |
| £ | |||
| Sub-Total | |||
| Delivery outside Europe (20%) | |||
| TOTAL | £ | ||
| Payment Details | ||
| Payment Method | [ ] Card (see below) [ ] Cheque (attached) [ ] Transfer (details please) |
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Card type: |
(We are unable to accept Diners Card) | |
Issuing bank |
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Card number |
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Start date |
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Issue number |
(Solo and UK Maestro cards) | |
Expiry date |
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Security digits |
(Shown on the back of the card) | |
Cardholder |
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Statement address |
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Signature |
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