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Agranova Order Form

Please refer to the Price List for current pricing.

Use this form to send your order by fax or e-mail :
tel: +44 1689 600 501
fax: +44 1689 897 786
 e-mail: agranova@compuserve.com

Order Date : Please write clearly - use BLOCK CAPITALS !
Title/Name :  
Company :  
Address :  
City :
  Postcode/Zip :   Country :  
Tel :
  Fax :  
e-mail :  

Qty. Unit
Grand Total :

Cheque enclosed    
Bill me later    

<< Select method of payment

Mailing is free for all pre-paid orders. Shipping and handling costs will be added to the invoice for all billed and proforma orders.

GBP cheques must be drawn on a UK bank and made payable to Agranova.