Computer Services EndNote Personal Purchases Personal Details I wish to purchase a copy of EndNote for personal use. Windows Name: ………………………………………….. Delivery Address: ………………………………………….. Mac Please tick ………………………………………….. ………………………………………….. ………………………………………….. Tel. Number: ………………………………………….. Email address: ………………………………………….. Payment details The cost of Media and Licence is €92.24 (Including VAT and P&P) The cost of Media, Licence and Getting Started Guide is €130.48 (including VAT and P&P) I wish to pay the sum of €________ by the following method. *Please delete those that do not apply. *Visa Card number Expiry date *Switch / Card number Issue Number/Date / Signature (required for Visa & Switch): ……………………………………………. *Cheque, made payable to Adept Scientific plc Authorisation I verify that the status of the applicant has been checked against their student or staff card as being a valid member of this institution. Signed: ………………………………………. NOT VALID WITHOUT COMPUTER SERVICES STAMP ON TOP OF SIGNATURE --------------------------------------------------------------------------------------------------------------------------------------------Completed forms should be posted to Adept Scientific plc Amor Way Letchworth Herts SG6 1ZA Or faxed to 01462 480213