This page is designed to help you give SCITEXT all the details we need. Simply email us with the details requested. Or, if you are faxing or posting a document to us, you can print it, fill it in and send it together with the document.

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 (indicate your choice)

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

Fax number (only if you require return by fax):

Postal address (for dispatch of credit card slip):

Method of payment: credit card / PayPal / cheque / other (please specify). (Indicate 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: