ORDER FORM

' ' ' ' ' Order Number Order Date
Contact Name Contact Telephone
Institute
Delivery Address



Postcode


Invoice Address



Postcode


VAT Exempt ? YES NO

Delivery required by:

Order Code Description Quantity Price Each Line Total
Special Instructions:

Until we receive the official purchase order form for the above order, we will be unable to despatch the goods to you. Please fax or post us the official order form as soon as possible. Please ensure that a signed VAT exemption form is also enclosed where applicable.


Bright lnstrument Co Ltd•St Margarets Way•Huntingdon•Cambridgeshire•PE29 6EU•England
Tel: +44 (0)1480 454528/ 451980/ 451499•Fax: +44 (0)1480 456031•Email: sales@BrightInstruments.com
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