| Innovation & Discovery
Bath and the Rise of Science |
Order Form |
Please print this form out, fill it in and send it to:
| Innovation & Discovery Book Offer Bath Royal Literary and Scientific Institution 16-18 Queen Square Bath BA1 2HN UK |
| Please reserve copies of Innovation & Discovery @ £25 each |
£ |
| I will collect from BRLSI Bath, to avoid postal charges | YES / NO |
| Postage and packing (per copy): UK £5.00, rest of EU £7.50, worldwide £12 |
£ |
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Total: |
£ |
Delivery Instructions |
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| Name: | ||
| Address: | ||
| Postcode | ||
| Phone: | Please
include a phone number and/or email address so we can contact you with any queries |
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| Email: | ||
Payment Details
| By cheque - sterling only and
drawn on a UK bank. Important - please make cheques payable to 'Innovation and Discovery Bath'. |
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| Credit/debit cards - please write your card details below: | ||
| Card type (Visa, Maestro etc) | ||
| Exact name on card | ||
| Valid from (dd/mm) | ||
| Expiry Date (dd/mm) | ||
| Issue number or security code | (i.e. the last three digits of the number on the signature strip) | |