Scanning Pens Fax Order Form
 
To: Scanning Pens
Fax Number: 020 7976 4911 if within the UK or +442079764911 if outside the UK

Skype: Skype Me™! Livehelp: Live Help
 
Please print this form from your browser, complete section 1, 2 and 3. Only complete sections 4, 5 or 6 if required. Sign and date in section 7 and then fax it back to us.
 
Section 1 - Your details:
 
Name:

Delivery Address:




Telephone:

Email:

 
Section 2 - Order details:
 
Quantity: Product: Cost in GBP: Sub-Total:
 
2 QuickLink 100.00 200.00
































Delivery Charge
Mainland UK: £10.00
Europe: £20.00
Rest of World: £40.00		 Discounts
No discounts are available if you order by fax. To achieve discounts of upto 7% please place your order Online.
Total:

Delivery Charge:

Grand Total:

Please show costs in GBP with VAT at 17.5% if the delivery address is within the EU or without VAT if goods to be delivered outside the EU.
----

Delivery Charge may vary, if it does, you will be contacted first.
 
Section 3 - Payment details:
  (please tick)
Credit Card Please complete Section 4

Bank Transfer Please complete Section 5

Western Union Please complete Section 6

Sterling Cheque or Postal Order Please make payable to Scanning Pens Limited and send to:
Jack Churchill
Scanning Pens Limited 6 The Quadrant Newark Close Royston, SG8 5HL United Kingdom 		 
Pro-Forma Invoice You will be sent a Pro-Forma Invoice in the post, you will be able to pay using the same methods as above. Your order will not be dispatched until we have received your full payment (please make sure that you pay any costs).

 
Section 4 - Credit Card details:
 
Description: Purchase from Scanning Pens
Currency: GBP
Amount:

Type of Card:
(MasterCard, Visa, Mastro etc)

Cardholders name:
(as it appears on card)

Credit card number:

Start date - if available:
(mm/yy)		  /  Expiry date:
(mm/yy)		  / 
Security code: (3 digits)

Issue number - Switch only:  
NEW Billing Address: (only if
different to above)




If you have any questions regarding the processing or storage of your credit card details please read our privacy policy or feel free to contact us.
 
Section 5 - Bank Transfer details:
 
Date of transfer:

Currency:
Amount:

Tracking number (if known):

Reference (please use order number):

 
Section 6 - Western Union details:
 
Date of transfer:

Currency: GBP
Amount:

Name of person sending cash:

Password:

 
Section 7 - Signature:
 
Cardholders or Authorised signature:  
 		 Date:  
 
Thank you for making your purchase from Scanning Pens
If you have any problems, please call us on 020 7976 4910 if within the UK or +442079764910 if outside the UK
Your order will not be dispatched until we have received your full payment