Main order form
... print and post    ... print and fax    ... or submit online

1. Who you are:

2. List the items you are ordering:

3. Other forms:		Tick this box if you're also sending other forms with this order
4. N.American customers only:		Tick this box to accept the special Terms and Conditions for Canada and the USA.
5. How are you paying?		plastic card      cheque / postal order      bank transfer
if plastic card:		number	type  VisaMasterCardMaestro/SwitchSolo
WARNING        DON'T SUBMIT CARD      DETAILS ONLINE UNTIL      FURTHER NOTICE.        POST, PHONE OR FAX      THEM TO US INSTEAD.        THANK YOU.		valid from /   issue no.	expiry	security code (on back)
		cardholder   name +   address
		signature   (post / fax   orders)
6. Send this form:	by post to:	HIGHPATH ENGINEERING, Cornant, Cribyn, Lampeter, Ceredigion, SA48 7QW, UK
or fax to:		+44 (0)1570 470035        (UK office hours only)
or online: