IPS Order Form

IPS Order Form

Special Offer Free Screen Saver To Order please fill in the form below and hit send Alternatively hit print and Fax to ++ 353 86 9374590 or Simply Tel: ++ 353 86 8374590 CD-ROM Costs Only $25 + $5 P&P


Name:
Address:
Country:
Telephone:
Fax:
Email:
Web Site:
Business Type:	Other please specify
Method of Payment:	Visa Master Card Bank Draft - made payable to IPS (Irish Photo Stock) Cheque - made payable to IPS (Irish Photo Stock)
Card No.
Expiry Date: DD/MM/YY
Card Holders Name
I Authorize IPS to charge US$	to my Credit Chard.

Additional Information or Comments

IPS (Irish Photo Stock)