SCITEXT CAMBRIDGE

Our document submission form is designed to help you give SCITEXT all the details we need. If you wish to use it, you can print it and fill it in before faxing or posting it to us with a document. Or you can download a PDF version that fits on a single sheet of paper, and print that. Alternatively, just e-mail us with the details requested.

DOCUMENT SUBMISSION FORM

To: SCITEXT CAMBRIDGE, 139 Macaulay Square, CAMBRIDGE, CB22 5AG, UK, Fax: +44 1948 710645

I have read and I accept SCITEXT CAMBRIDGE's conditions. Please edit the following document:

Title:

Author(s):

Number of words:

Edit on paper / computer file (circle your choice)

Return guaranteed within 2 / 5 / 12 working days (circle your choice)

Fax number (for return of hand-edited documents):

Postal address (for dispatch of credit card slip):

Method of payment: credit card / bank-to-bank direct transfer / cheque / other (please specify). (Circle your choice; further details below)

Signature:

Date:

If you are paying by credit card please fill in these details:

Card type (Mastercard, Visa, American Express etc):

Card number:

Security number (last 3 digits on back of card, if present):

Expiry date:

Name (as on card):

Cardholding address:

Amount of payment (in UK pounds sterling):

Signature (as on card):

Date:

To pay by bank-to-bank direct transfer please tell us, and we shall send you the necessary details of our bank account.

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