CONTACT NAME :

ADDRESS :

TELEPHONE :

FAX :

EMAIL :

Please send me M.Devices Group's Self Declaration kit

Fee($)	Number of Kits

Your Self Declaration Kit will be shipped to you within 3
working days of processing your payment. Preferred Delivery
is by email, but if you experience difficulty in receiveing your
S.D. Kit, we will be pleased to mail it to you in the post at no
extra cost.
 

CREDIT CARD PAYMENT (for conference bookings)
Please debit £ from my credit card
Credit card type : Access Visa/Mastercharge Barclaycard
Expiry Date : 
Card No : 
Name on Card : 

If an invoice is required before payment, please check 

Please send me information