Matching Person & Technology CD

UK ORDER FORM

May2006

 

	Number required	CD Price	Total Price
MPT CD		£75:00
Postage & Packing per order			£10:00
TOTAL PAYABLE

DELIVERY DETAILS
 

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Address
		Post Code

PAYMENT BY CHEQUE or POSTAL ORDER

Payable to Northumberland, Tyne and Wear NHS Trust
 

I enclose a cheque/postal order for:

£

PAYMENT BY INVOICE
 

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		Post Code

Contact in the event of any problems with this order:
 

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Address
			Post Code
Tel No		Fax No.
Email

Please return to:

Communicate

Regional Neurological Rehabilitation Centre

Hunters Road, Newcastle upon Tyne NE2 4NR

Tel: (0191) 219 5640    Fax:  (0191) 219 5647

E-mail:  communicate@nhs.net