INTERACTER - Credit Card Order Form

Interactive Software Services Ltd.,
PO Box 2822, Penkridge, Stafford ST16 9FA, United Kingdom.

Card holder's Address	Delivery Address (if different)
Name: _________________________________________ Address: _______________________________________ _______________________________________ _______________________________________ Post/Zip Code: ____________ Country _______________	Name: _________________________________________ Address: _______________________________________ _______________________________________ _______________________________________ Post/Zip Code: ____________ Country _______________
Cardholder's email address: __________________________________________________________ VAT (Value Added Tax) registration number : (non- UK European Union customers only) __________________________________________________________

The cardholder will be sent an email before the order is processed, listing total cost (including shipping) and
order details. Goods will be despatched on receipt of the cardholder's confirmation that the order may proceed.

Target Compiler/Platform	Quantity

I accept the standard Terms and Conditions of Sale of Interactive Software Services Ltd.
Please charge my credit card detailed below for the total cost of my order, including shipping.

Card Type:	Visa · MasterCard · AmEx (** PLEASE INDICATE CARD TYPE **)
Card Number:	_________________________________________________________
Name on card:	_________________________________________________________
Expiry Date:	______/______
Security number	_____________ (Visa/Mastercard=3 digits, AmEx=4 digits)
Card holder's signature:	_________________________________________________________