CIAX.COM, 5 LONGHEY RD, MANCHESTER, M22 8UA, UNITED KINGDOM
Tel: +44 161 902 0980 Fax: +44 161 945 8169 Email: help
CIAX.comFAX: 0161 945 8169
| Please (1) Print this form. (2) Use a pen to fill the form. (3) Fax the form. Thank you. |
| CIAX.COM CIAX.COM, 5 LONGHEY RD, MANCHESTER, M22 8UA, UNITED KINGDOM Tel: +44 161 902 0980 Fax: +44 161 945 8169 Email: help CIAX.com |
FAX: 0161 945 8169 |
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ADDRESS: To appear on Sales Invoice |
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| EMAIL: | <<< IMPORTANT: Email address for delivery of software |
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| Swift / CHAPS / Bank Wire Transfer / Telegraphic Transfer
GB - I will pay using my bank, by wire transfer. If you need an invoice, before payment, please request an invoice. When your payment arrives, we will send your products. |
| Bank: | National Westminster Bank |
| Bank Address: | 2 Church Road, Northenden, Manchester, M22 4WL UNITED KINGDOM |
| SWIFT Address: | NWB KGB 2L |
| Account: | CIA |
| Account No: | 02284065 |
| Sort Code: | 60 15 25 |
| IBAN #: | GB23NWBK60152502284065 |