Page 19 of Education Catalogue 200-2006 by BP Educational Service

Title First name Surname ____________________________________ Position in school organisation Subject area _________________________________ Name of school organisation ___________________________________________________________________________________ Address _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Postcode Email ___________________________________________________________________________ Tel (inc std) Mobile Fax (inc std) ____________________________ Payment details (please tick) Please find enclosed a cheque for ___________________ (Please make cheques payable to BP Educational Service) Please debit my card for ____________________________ Visa Mastercard Amex Other Card number Expiry date Please debit my account: payment may be made via BACS (contact BP Educational Service for details) Please invoice my school at the above address School order number __________________________________________ I do not wish to receive any further information from BP Educational Service (please tick) Fax both pages to: +44 (0)870 333 0131. Return by post to: BP Educational Service, PO Box 635, Harrow HA1 2GU. Please complete the order details below and overleaf and return to BP Educational Service. Orders can be placed online at www.bp.com/bpes via telephone: +44 (0)870 333 0428 or by email: bpes@bp.com primary order form

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