Order Form - Lakeland Microscopes Ltd

	The Microscope Supply Specialists... worth a closer look!

Free UK Mainland Delivery

Order Form

Please use this form to order up to 12 separate items.
If you require more than 12 separate items then please contact us by Email, telphone or fax.

Title:
*Name:
*E-Mail:
Home Telephone:
Work Telephone:
Organization
Address:
Product Code	Description	Quantity	Unit Price
			£
			£
			£
			£
			£
			£
			£
			£
			£
			£
			£
			£
	Sub-Total	£
	VAT @ 17.5%	£
	Total	£
Additional Comments or Instructions:
Check this box if you are a private individual sending a cheque by post to accompany this order. See HERE to view who qualifies for automatic account facilities. After submitting this form you will be contacted via E-mail regarding your enquiry.

Lakeland Microscopes Ltd Kynance, Charney Well Lane Grange-O-Sands, Cumbria, LA11 6DB		Tel : 015395 34737 Fax : 015395 35026 E-mail: info@lakeland-microscopes.co.uk
Copyright © 2003-2007 Lakeland Microscopes Ltd.