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For Postal/Fax Survey / Questionnaire Orders

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Please enter the following supplier details into your school's financial administration system when generating your purchase order number and post your order to us:

PrimaryWise Education
24a Marian Avenue
Mablethorpe
Lincolnshire
LN12 2DZ

Tel: 0844 3573 901  Fax: 01507 472637

School Name: ___________________________________________________

Street: _________________________________________________________

Town: _________________________________________________________

County: ________________________________________________________

Postcode: _____________________

Telephone: ____________________

Fax: __________________________

Email (This will be used to advise your Admin account details): __________________________________

Contact Name: ___________________________________________________

Please tick ONE of the following subscription levels:

NOR up to 100: £125 + VAT per annum
NOR 101 - 200: £150 + VAT per annum
NOR 201 - 300: £175 + VAT per annum
NOR 301 - 400: £200 + VAT per annum
NOR 401 or above: £250 + VAT per annum

__________________________________________________________________________________


Discount Code: ____________ Total Order Value: £ ________

Purchase Order Number: ___________________________________________

I have read and agree to the Terms and Conditions for subscribing to @MySchool.


Signed: ______________________ Position: ___________________ Date: _________