Booking Form
Your chance to feature on the award-winning Instrumentation Signpost!

This form should be completed printed out and posted or faxed to our office complete with payment either by credit card, cheque or money order.
Please note that faxes are received in a computer not readily accessible to unauthorised staff. Post addressed as below is given straight to the authorised department. Credit Cards by email currently not permitted.

Please include my web URL on the web pages I have indicated below.

I understand that the cost for inclusion on one page is Eur15.00. I understand that the price is Eur40.00 for inclusion on three or more pages. This is a one off charge and your link will appear in perpetuity or for as long as read-out.net exists. The page is currently registered for a period of ten years.
Payments may be by cheque in any of the currencies indicated at the right. Payments by credit card will be cashed in Ir Pounds
    Price in various currencies - these vary from day to day
        €15.00
        SeK126.82
        GBP10.14
        USD16.65
        JPY2213.00

My URL:

Name:
 (Company name or title of website)

VAT Registration No: European Union countries only

Payment:
    Please accept my Cheque or Money Order Payment for
      • EUR15.00 (single page entry)
      • Eur40.00 (Three or more page entry)
    Or in one of currencies indicated above

    Or by Credit Card as follows:

    Credit Card Number:

    Expiration Date:

    Signature:

      Credit Card (check one)
        • Mastercard
        • VISA
        • Access

    Name:

    Position:

    Company:

    email:

    		Fax this form to: +353 91 506872

    OR

    Post this form to:
    The Read-Out Signpost,
    Caorán, Baile na hAbhann, Co Galway, Ireland