To: Cavendish Information Products Ltd
Please supply:

Qty ____ Awareness Seminar Video by Edward de Bono (UK = GBP 37.50 Elsewhere = GBP 39.00)
@ (GBP) _____ each; total payable (GBP) _________

Bulk Discount Reference number _________________

Please select type of recording required: PAL  SECAM  NTSC

Method of Payment: (see note below - please delete where not applicable)
UK Bank cheque / International Sterling Money Order / VISA or Mastercard
No other form of payment can be accepted

Delivery Name and Address (please include Postal/Zip Code) in capital letters

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

email: _____________________________________________

Fax: _________________________

Date: ______________ Signature: ________________________

Credit Card details: (Please delete where and if not applicable)
VISA  /  Mastercard
Credit Card Number _____________________________________

Expiry Date: ___________________________________________

Name on Card: ________________________________________

Card Issued By: ________________________________________
Address to which card was issued if different from above:

________________________________________________________

________________________________________________________

________________________________________________________

________________________________________________________

Please note that credit cannot be given as the cost of credit control can exceed the value of the ordered item.