Newsheet Request Form

Please fill out the form below, then print it and send it with your cheque or postal order made out to 'The Moredun Foundation' to: -

The Moredun Foundation, Pentlands Science Park, Bush Loan,
Penicuik, Midlothian, EH26 0PZ

Title Required
(please include volume number and newsheet number)		 Price per copy Quantity Total Amount
1. FREE 1 FREE
2. £1.50
3. £1.50
4. £1.50
5. £1.50
6. £1.50
Total Payable

Title: Initial: Surname:
Email:
Address:
Postcode:
Alternatively, you can pay by credit/debit card and fax us this form on
+44(0)131 445 6235.

Please debit my Visa/Mastercard the amount highlighted above
Card Number
(no spaces)
CSC (Last 3 digits on signature strip)
Expiry date / (MM/YYYY)
Signature