To:

Easy Times Tables

6 Station Road

Coleshill

Birmingham

England

B46 1HT

Tel: 01675 437 721

Fax: 01675 465 191

Please send me _____________ copies of the

 Easy Times tables Learning System at £15.99

Delivery Address:

Name:

Address:

Postcode:

Telephone Number:

(please include dialling code)

E-Mail Address:

Payment:

(please circle)

Credit Card

Number:_________________________

Expiry:__________________________

Is the Credit Card Address the same as the delivery address? If no please enter your credit card address in the box opposite

Cheque

Invoice Address:

Name:

Address:

Postcode:

_________ x £15.99 = ____________

Shipping Price (Either £2.99, £5.99 or £9.99)_______________

Total Including Shipping: ________________                     

 Please Sign and Print to Confirm your order

____________________        ____________________        ____________________

Signed                                    Printed                                      Date