Conference
Materials Order Form
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Surname: ...............................................................................................
Organisation: ..........................................................................................
Address: ................................................................................................
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Country: ................................................................................................
Tel: ............................................ Fax: ................................................
Email: ...................................................................................................
| Item | Number | Unit Cost | Total Cost |
| ECSCW'97 Conference Proccedings |
|
£ | |
| Conference Supplement |
|
£ | |
| Conference Video |
|
£ | |
| ECSCW'95 Conference Proccedings |
|
£ | |
|
Total
|
£ | ||
| Order Value | Within Europe | Rest of the World |
| Less than £16 |
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| Over £16 |
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Total Order Amount:
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£ |
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Post and Packaging
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£ |
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TOTAL DUE:
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£ |
Please indicate
your method of payment:
| Cheque enclosed,
payable to Lancaster University & drawn on a UK Bank. |
|
| Credit card details are given below (VISA / MASTERCARD only) |
Expires: ............................................................................................
Cardholders Name: ............................................................................
Billing Address..................................................................................
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Cardholders Signature: .......................................................................