White Eagle Publishing Trust Order Form
PURCHASER'S INFO:
Print your order details in black ink.
Name:
 
Email:
 
Tel:
 
Postal & Street Address:
 
City:
 
  County-State-Province & Postal-ZIP Code:
 
Country:
 
DELIVERY INFO:              
Same as above
Please send as a gift
Name:
 
Email:
 
 Tel:
 
Street Address:
 
City:
 
County-State-Province & Postal-ZIP Code:
 
Country:
 
ITEM NAME     (Include Code or ISBN No.)
PRICE
QTY
SUB-TOTAL
       
       
       
       
       
       
       
Order Sub-total:
 
Shipping Fees:
UK: Add £ 2.50 for orders up to £10. Add £5.00 for orders up to £40.00.
Orders over £40 p&p free.
Overseas: Add £5.00 per order.
Shipping Fee:
 
TOTAL:
£
PAYMENT OPTIONS:  Cheque      Money Order      Credit Card - See below
Credit card information:
 Visa      M/C      Discover      AMEX      Other:

Card Number:
 
 
 
 
 
I would like to receive an information packet.
Expiry Date:
 
Security Code:
(last three digits on the back)
 
 
Name on card:
 
 
 
I would like to receive a book catalogue.
Cardholder Signature:
 

 

 

 

 

 

 

Please print this form and fax or mail the order with payment, or order by phone.


 

The White Eagle Lodge
New Lands, Brewells Lane,
Liss, Hants GU33 7HY
England
TEL: +44 17 30 893300
FAX: +44 17 30 892235