To: Cavendish Information Products Ltd
Please supply: (Price UK = GBP 27.02 (incl VAT) elsewhere GBP 24.00 each)
Quantity ____ CoRT CD's @ GBP _____ each; total payable GBP _________
Bulk Discount Reference number _________________
Method of Payment: (see note below - please delete where not applicable)
UK Bank cheque / International Sterling Money Order / VISA or Mastercard
No other form of payment can be accepted
Delivery Name and Address (please include Postal/Zip Code) in capital letters
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
email: ____________________________ Fax: ________________________

Date: ______________ Signature: ________________________
Credit Card details: (please delete where not applicable) VISA  /  Mastercard
Credit Card Number: _____________________________________
Security Code: __________________________________________
Expiry Date: ___________________________________________
Name on Card: ________________________________________
Card Issued By: ________________________________________
Address to which card was issued if different from above:
________________________________________________________
________________________________________________________
________________________________________________________

Please note that credit cannot be given as the cost of credit control exceeds the value of the ordered item.