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Easements E-learning CD-ROM order form - Step 1

Please use this form to order your CD-ROM.

Note: You must complete all fields that are marked with an *.

Topic

	Title	Reference	Cost per copy
	Easements *	E-E/CD/08	£75 + VAT

Number of copies: *

Your contact details

Name: *

Email address: *

Phone number: *

Company name: *

Company address: *

Town/City: *

Postcode: *

Job title: *

Please supply your delivery address for the CD-ROM if different to your contact details.

Delivery address:

Town/City:

Postcode:

Payment details

By supplying the following details you are authorising payment for the above product for which you will be invoiced under separate cover.

Please confirm your payment method: *

	Bacs
	Cheque (payable to Land Registry)

Contact name for invoicing: *

Is invoicing address different from company address?

Yes

Invoice address (if different to above address):

Town/City:

Postcode:

Email for invoicing: *

Phone number for invoicing: *

Privacy and data protection

Are you interested in Land Registry products and services?

Please check the box if you wish to receive information from us:

Please select your preferred method of contact:

Should you wish to opt out at any time in the future you may do so by emailing us at privacy@landregistry.gsi.gov.uk.

Land Registry will not sell your details to third parties. For further information on our privacy policy, visit http://www1.landregistry.gov.uk/terms/privacy.