MICROFIT 5.0 - UPGRADE ORDER FORM

Upgrades are only available to Registered Users of Microfit v4.0 / v4.1.

To apply for the upgrade price please print and return the completed order form to us at:
Electronic Publishing Customer Service E100
Oxford University Press
Great Clarendon Street
Oxford, OX2 6DP

fax +44 (0) 1865 353308

Please do not email this form for security reasons.

ORDER DETAILS

QTY	ISBN (office use)	TITLE/VERSION	AMOUNT (ex VAT)









Are you VAT registered? Please tick VAT number:
Please add VAT/sales tax at the local rate to your total order value.
Postage and Packing charges: (including VAT) UK Ł3, Europe Ł6, Rest of World Ł9
TOTAL

PAYMENT DETAILS

Please tick here to request a pro forma invoice (goods despatched on receipt of payment) or provide your credit card details below.

American Express Delta/Diners Electron Maestro/Switch Master/Eurocard Solo Visa

Card number:

Expiry date /

Debit Card/Switch Issue Number Valid from /

Name of card holder:

BILLING AND PAYMENT DETAILS

Title & Full Name:
Department:
Organization/Institution:
Address of card holder:


Postcode:		Country:
Telephone:
Email:

DELIVERY DETAILS (if different from above)

Title & Full Name:
Department:
Organization/Institution:
Address:


Postcode:		Country:
Telephone:		Email:

SIGNATURE

Signature ___________________________________________

Date:

STUDENTS: to be signed by your course Tutor/Head of Department

(Orders without an appropriate signature will not be processed at the Academic Upgrade price)

I confirm that is a student on the following course:

Signature ___________________________________________
Title & Full Name:
Institution:

Please allow 10 days for delivery in the UK; 7-15 days in Europe; 28 days elsewhere.