******* PRINT THIS FORM OR WRITE INFORMATION ON A PIECE OF PAPER ****** NEW MOON (Enterprises) LTD. PO BOX 110 DIDCOT, OXON OX11 9YT UK FAX: +44 (0)1235 812367 - Credit card orders only. *********All $ prices on the site and in our catalogue are US$********* UK ORDERS: MANDITORY Shipping cost is £2 *UNINSURED* add £6 for registered mail, £10 for courier if within NCN delivery area Enclose check, postal order, or credit card info with form. US/European ORDERS: Shipping cost is 10% of total - $5 min. INTERNATIONAL ORDERS: Shipping cost is 15% of total - $7 min. **US/Europe/International**: Bank charge $9 for cheques/money orders. We accept the following forms of payment: international money order in pounds sterling, UK pounds or US$ CASH, UKcheque or credit card. Allow up to 28 days for delivery - usually dispatched within 7 days ***We will cooperate with authorities to prosecute credit card fraud*** *** Returned checks will be charged a $25.00/£10 service fee. *** NAME____________________________________________________________________ ADDRESS_________________________________________________________________ CITY_______________________________ STATE/PROV/COUNTY__________________ ZIP/POSTAL CODE________________________ COUNTRY________________________ EMAIL_________________________________ PHONE___________________________ CARD TYPE - __________ NUMBER___________________________________________ Switch Issue#/Valid from date ____EXPIRATION DATE___________SEC CODE____ SIGNATURE___________________________________________________________ ------------------------------------------------------------------------ Description | QUANTITY | PRICE EA. | TOTAL| ------------------------------------------------------------------------ | | | | ------------------------------------------------------------------------ | | | | ------------------------------------------------------------------------ | | | | ------------------------------------------------------------------------ | | | | ------------------------------------------------------------------------ | | | | ------------------------------------------------------------------------ | | | | ------------------------------------------------------------------------ SHIPPING | | ---------- BANK CHARGE | | ---------- TOTAL | | ----------