UK
ORDER FORM
May2006
Postage &
Packing per order
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£10:00
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TOTAL PAYABLE
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DELIVERY
DETAILS
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PAYMENT
BY CHEQUE or POSTAL ORDER
Payable
to Northumberland, Tyne and Wear NHS Trust
I enclose
a cheque/postal order for:
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£
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PAYMENT
BY INVOICE
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Contact
in the event of any problems with this order:
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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