Neith Network Library  Order Form
(At-Cost Non-Commercial Service)
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Fax this form to: (+44) 01392-411723
or mail to: The Neith Network, Creativity House, 9 Oxford Street, 
St.Thomas, EXETER,Devon EX2 9AG, U.K.

Cheque, money order and all major currencies accepted.
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Order Information
All prices valid on 1/12/2004.
See www.creativityhouse.ndirect.co.uk for  details and up-dates.

Items Required			Price/Unit	Quantity	Total
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Postage & Packing as appropriate			  ------------

TOTAL AMOUNT (ŁU.K./$U.S.)				  ------------
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Payment and Postal Information

Name: ________________________________________________________________

Title: _______________________________________________________________

Company: _____________________________________________________________

Address: _____________________________________________________________

City: ____________________________________  

State/Province: ___________________________

Post/Zip Code: ____________________________  

Country: __________________________________

E-Mail Address: ______________________________________________________

Daytime Phone: _________________________   

Fax: _____________________________

Payment:   ______ in Cash    

	   ______ by Cheque       

	   ______ by Money Order    

	   ______ by U.K. Postal Order or in U.K. Stamps


Signature: ______________________________   Date: __________