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	TO ORDER by POST:
PRINT THIS FORM	COMPLETE IT	CALCULATE TOTAL PRICE
MAKE CHEQUE PAYABLE TO: 'POPPY RECORDS'
POST IT TO THE ADDRESS BELOW

ORDER FORM NAME: .............................................................................................................. POSTAL ADDRESS: .............................................................................................. . . . . . . . ........................................................................................................... . . . . . . . ....................................................................... POSTCODE: ................... E-MAIL ADDRESS (optional) ................................................................................... (Information given on this form will not be disclosed to a third party for marketing purposes)
Serial No	Title	Qty	Price each	Total price
CXP3001	Frequency calibration cylinder Blumlein 300 c/s characteristic		£25.00
CXP5001	Frequency calibration cylinder Blumlein 500 c/s characteristic		£25.00
CXP8001	Frequency calibration cylinder Blumlein 800 c/s characteristic		£25.00
Post and packing free of charge			£0.00	£0.00
Purchase			TOTAL
Please supply and consign these goods to the above address Cheque for total value enclosed . . . . Signed: ...................................