PRINTED ORDER FORM


To:- Melchior Obbligato Limited, 159 Station Road, Beeston, NOTTINGHAM, NG9 2AZ, ENGLAND

 Contact Name: _____________________________     Billing Contact: _____________________________

Establishment: _____________________________       Establishment: _____________________________

      Address: _____________________________             Address: _____________________________

               _____________________________                      _____________________________

               _____________________________                      _____________________________

         Town: _____________________________                Town: _____________________________

       County: _____________________________              County: _____________________________

     Postcode: _____________________________            Postcode: _____________________________


          Tel: _____________________________                 Tel: _____________________________

          Fax: _____________________________                 Fax: _____________________________

        Email: _____________________________               Email: _____________________________

Please supply:-
____ annual subscription(s) for school/LEA centre use, at £40 (+VAT =£47.00) box    Bulk orders:
Please attach a separate sheet with
a list of school names and POSTCODES.
You will receive all details for forwarding.


Non-UK orders
VAT is payable within the European Community.
Prices are in GB pounds. We accept cheques in GB pounds (£). For cheques in other currencies please add on £6 to cover our bank charges, and then convert from GB pounds to your own currency using the currency converter at http://www.xe.net/ucc.
Your ID, password, and payment documentation will be delivered by email: please give valid contact and admin. email addresses.
An annual subsciption for FE college use at £55 (+VAT =£64.63) box
An annual subscription for University/commercial use at £85 (+VAT =£99.88) box
An annual subscription for school plus home use, at £99 (+VAT =£116.33) (students can use the service at home and at school). box
An annual subscription for Individual use at £20 (+ VAT =£23.50) (registered to home address; personal payment.) box


The official order number is:- ________________

(or) official order accompanies this form

(or) I enclose cheque payable to MELCHIOR OBBLIGATO LIMITED




I have read and understood the conditions of use for this subscription.


Signed: ____________________________________________________________________

Contact name: ______________________________________________________________

Position: ___________________________________________________________________



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