| TO: PHS Books Fax: +44 (0)1845 577778 Tel
+44(0)1845 577907 ORDER FORM FOR A BOOK |
|||||||||||||||||||||||||
| For: Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ __________________________________________________ Post Code: _________________ |
Invoice Address, if different Name: ________________________________________ Address: _______________________________________ ______________________________________________ ______________________________________________ Post Code: _______________________ |
||||||||||||||||||||||||
| Please supply : | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||
| Cheque - please make payable to Poultry Health Services Ltd | |||||||||||||||||||||||||
| Email _____________________________________ Fax _______________________________________ Telephone ___________________________________ |
|||||||||||||||||||||||||
| Signed _____________________________________Date_________________________ Send to PHS |
|||||||||||||||||||||||||