Kit Quotation EU



Request for Quotation (European Orders)
* Denotes a required field

Ordered By
Company*:
Contact Name*:
Address 1*:
Address 2:
City*:
County/Province:
Postal Code:
Country*:
Email Address*:
Phone*:
Fax:

Deliver To	Check if same as above:
Company*:
Contact Name*:
Address 1*:
Address 2:
City*:
County/Province:
Postal Code:
Country*:
Phone*:
Fax:

Please complete the following information:
Within UK
Within UK but VAT Exemption Certificate can be provided at time of order
Within MAINLAND EU (VAT registered): VAT Registration Number:
Within MAINLAND EU (not VAT registered)
Outside of EU
Please check this box if you would like the price quoted in GBP

Kit Quantity*
Additional Comments

Please address all questions pertaining to EU orders to: Sword Scientific Suite 27, Athena Drive Tachbrook Park Warwick, England CV34 6RT UK Tel: +44 (0) 1926 336663 Fax:+44 (0) 1926 336662 www.sword-scientific.com