RailCONNECT
FAX ORDER FORM
RailCONNECT is due for circulation in March, June, September and December of each year. Fax this form to place your order: 01937 580488. We will confirm this by return.
Terms: Payment with order. Payment can be made by BACS, cheque or credit card I would like to subscribe the following (see overleaf, tick box required)
Option: 1 Company Details
Company Name: .................................................................................................................................... Contact Name: ....................................................................................................................................... Email Address: ......................................................................................................................................... Website: .................................................................................................................................................... Tel No: ...................................................................................Fax No: ..................................................... Signature*: ...........................................................................Position: ....................................................
Address:
............................................................................ ............................................................................ ............................................................................
Invoice Address (if different): ................................................................................. ................................................................................. .................................................................................
Purchase Order Number: ....................................................
*by signing this order form you agree, on behalf of your company, to pay upon receipt of invoice. If you pay within 14 days up to 5% discount will be honoured. Should you require any further information, please contact Sales on 01937 580477
2* * For options 2 and 3 we will contact you to discuss your individual company requirements 3*
Card Name: ............................................................................................................................................ Card Type: American Express q
Visa/Delta q MasterCard q Maestro q
Card Number: ......................................................................................................................................... Expiry Date: ................................. Issue Number: ............. Last 3 digits on reverse of card: ............ Statement Address: ............................................................................................................................... ...................................................................................................................................................................
Group Information Services Ltd, 1–2 Highcliffe Court, Greenfold Lane, Wetherby, West Yorkshire, LS22 6RG Tel: 01937 580477 Fax: 01937 580488 Email:
sales@gisltd.co.uk
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