Equipment Order Form

1. Please enter the relevant details in boxes below.
2. If you wish to view the price list, minimise this web page window.
3. Maximise to enter more text in the form.
4. Print out the form and send it or send as an attachment to e-mail.

Please provide the following contact information:

Name

Title

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail

URL

Please provide the following ordering information:

QTY CODE & TITLE/COST & TOTAL/WEIGHT

Total Cheques (inc. P + P)

UK Post & Packing Rates
Up to..	£	Up to..	£
0.06kg	0.60	0.6	2.00
0.1	0.70	0.75	2.60
0.2	1.00	1.0	3.50
0.3	1.20	2.0	4.25
0.4	1.50	4.0	6.25
0.5	1.80	>4.0kg	7.50

Enter the date of order:

Peter Dalby, Pebadale Apiaries, 37 Cecil Road, Cheshunt, Herts., EN8 8TN, UK
Tel/Fax: 01992 622645 E-Mail: peter.pebadale@virgin.net
Last revised: March 2000

Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL

Equipment Order Form

Peter Dalby, Pebadale Apiaries, 37 Cecil Road, Cheshunt, Herts., EN8 8TN, UK Tel/Fax: 01992 622645 E-Mail: peter.pebadale@virgin.net Last revised: March 2000

Peter Dalby, Pebadale Apiaries, 37 Cecil Road, Cheshunt, Herts., EN8 8TN, UK
Tel/Fax: 01992 622645 E-Mail: peter.pebadale@virgin.net
Last revised: March 2000