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:
 £1.50 - for every £10 (or part of £10) value ordered.
FREE - for orders £30 and over.
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 catalog.
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