Multilingual Emergency Phrase Book Order form

Multilingual Emergency Phrase Book Order form

Please note fields marked with * are mandatory fields
SECTION 1: Your contact details
Full name*

TitleFirst NameLast Name
Organisation*
Job title*
Email address*
Phone number*

Area CodePhone Number
SECTION 2: Order details
How many copies would you like to order?
Orders totalling less than £50 will require card payment.

Quantity	Price
Less than 20	£19.95 per copy + postage & packing
20 – 50	£14.95 per copy + postage & packing
51 – 200	£9.95 per copy + postage & packing
201 – 500	£7.95 per copy + postage & packing
501 – 2,000	£5.95 per copy + postage & packing
2,001 +	email multilingual@nhsconfed.org for a quote

Posting and packing will be calculated and quoted as per indivdual order and VAT will be applied to this postal charge ONLY

Personalisation

Are you interested in having the cover of your phrase books personalised with your organisation’s branding? (£199 +VAT or FREE on orders over 1,000)
YesNo
Great, we will be in touch shortly to discuss your requirements.
SECTION 3: Delivery details
FAO*
Organisation name*
Delivery address*
Post code*
Email*
Phone number*

Area CodePhone Number
SECTION 4: Payment
Payment method

I would like to pay by credit cardI would like to receive an Invoice
Thank you, we will be in touch shortly to provide you with our credit card booking line details and confirmation of your order.
Please provide your purchase order number or departmental code. If you do not have a purchase order number or departmental code, please provide your email address.
Purchase order number/departmental code/email address
If you are unsure, please check with your finance and purchasing teams as failure to provide a valid purchase order number or departmental code can delay your invoice from being processed.
Is your billing address different to your delivery address?

YesNo
Full Name

TitleFirst NameLast Name
Organisation name
Job title
Email
Phone number

Area CodePhone Number
Billing address
Post code
If you have any questions or queries, or require any assistance with your payment, please contact the team at finance@nhsconfed.org.
How did you hear about the Multilingual Emergency Phrase Book?*

NHS Confederation WebsiteA flyer at an eventA print advertAn online advertWord of mouthOther
If 'other' please state how
All information supplied will be held by NHS Confederation and will be stored on our internal contact management system. This information will remain secure and confidential and is held in accordance with the Data Protection Act. Information submitted will not be shared with third parties but may be shared within the NHS Confederation.
Should be Empty: