Copyquest Delivery Order Form

Helping you to find the information you need without having to wade through the information you don't

Document delivery order form for full-text items

I would like to purchase the following copyquest items (please list copyquest/accession numbers):

The handling fee is £7.50 per item for those with an annual Polymer Library account, otherwise £11 per item. Most items have an additional copyright fee. This is a variable charge depending upon the individual publisher.

If the combined copyright and handling charge for any document is in excess of £30 we will contact you for authorisation before proceeding with your order.


If you do not have the copyquest/accession number please provide as much details as you can about the document you require:

Personal Details

Name

Job Description

E-mail

Telephone

Fax

Order ref./No.

Company Details

Company Name

Company Address

Country

VAT No. *

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*Customers in EU member countries may be liable to pay VAT if registration no. is not supplied.

Method of Delivery

By e-mail	To e-mail address:	If different from above
By fax	To fax no.:
By post	To address:

Method of payment

Please debit my Polymer Library account:

Account No:

Password:

Please charge my credit card as below

	American Express Visa Mastercard
	Card number
	Expiry date
	3 Digit security number (for Visa and Mastercard only - found on back of card)
	Card holder name
	Card holder's address (if different from company address above)

All documents will be delivered on the understanding that copyright laws will be followed.

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