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| Cheque/Postal
Order |
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When you have filled in your details, please print the form,
make out a cheque to MEDASSET/UK and send to the address
below. We will confirm receipt of your mail directly. |
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You must fill in fields marked with * |
*
I wish
to order
copy/ies (£10.75/copy)
of the Kit "The Mediterranean Sea - A Source of Life".
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| *
Name |
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| *
Surname |
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* Mailing address |
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* Country |
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Postcode/Zip code |
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Telephone |
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Fax |
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* E-mail address |
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| * Postage
and packaging |
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| TOTAL |
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Tick here
if you wish for your e-mail to be added to the MEDASSET
mailing list |
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Please
send this form to:
MEDASSET/UK
c/o 24 Park Towers
2 Brick st.
London W1J 7DD
United Kingdom |
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