ORDER FORM

Please take time to read the 'Terms and Conditions of Sale' before completing the order form.

NOTE: IF YOU CHOOSE TO PAY BY CREDIT/DEBIT CARD YOU WILL BE TAKEN TO THE WORLDPAY SECURE PAYMENT CENTRE WHERE YOUR CARD DETAILS WILL BE TAKEN.

Your Details Your name: [required] Business name: Street address 1: [required] Street address 2: Street address 3: Town / city: [required] County: Post code: [required] Home Telephone: Work Telephone: Mobile: Fax: E-mail: [required] Company Details First choice of name:  Limited [required] Second choice of name:  Limited Your FREE Domain Name (Deluxe package only) If unsure of the choice of domain name at this stage or would like advice please leave blank and we will contact you. www. .co.uk.ltd.uk.plc.uk Chosen Package Choose your package: Economy     Standard     Deluxe  [required] Payment Details Pay by cheque Please make your cheque payable to Chapman & Carter Limited and send it to the address below (Your order will be held until payment has cleared). £82.8 (£69 + VAT) for the Economy Package £118.8 (£99 + VAT) for the Standard Package £238.8 (£199 + VAT) for the Deluxe Package Pay by telephone  Your order will be held until we call you to arrange payment. Pay by debit or credit card  Please be ready to give your debit or credit card details. General Instructions/Comments   How did you hear about us?   I've used you before I was recommended by a friend I found you on a search engine Other Terms and Conditions of Sale

Please note that once the documents have been lodged
with the registrar, the order cannot be cancelled.

Chapman & Carter Ltd
27 The Hawthornes
Beighton
Sheffield
S20 1WA

Chesterfield — Tel: 01246 811182 or Fax: 01246 570716

Doncaster — Tel: 0800 0345 375