ORDER FORM for ICE-GB R1

Please complete this Order Form and send it to:

Christine Bowles
Survey of English Usage
Department of English Language & Literature
UNIVERSITY COLLEGE LONDON
Gower Street, London WC1E 6BT
UK

Do not forget to sign the form. We cannot accept faxed copies.

Name:	____________________________________________
Institutional Address:	____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
Email:	____________________________________________
Type of Licence required (please tick):
	Student Licence*	ICE-GB R1
	Individual Licence
	Institutional (single copy) Licence
	Institutional (multiple copy) Network Licence

Vat Number (if applicable):	____________________________________________

*All students must attach a letter verifying their full time status on stamped headed paper from their Head of Department

How to pay

EITHER BY Credit Card OR Sterling Cheque

1. Credit card

To make a credit card payment click here for the credit card processing form.
Complete the form as requested. The same form can be used for more than one purchase.

Credit card processing form

2. Cheque drawn on a British bank

Cheque payment must be in Pounds Sterling, drawn on a British bank, and made payable to "UNIVERSITY COLLEGE LONDON (SURVEY OF ENGLISH USAGE)".

We regret that we cannot accept payment by bank transfer or Eurocheques. Sterling cheques can be issued by overseas banks for a small fee which must be paid by you.

I enclose a cheque for:

____________________________________________

Certification (this section must be completed for all orders)

I hereby certify that I have read the Licence Agreement and that I will use the corpus and the software in accordance with the type of licence issued, as specified therein. I hereby certify that I do not work for or represent any commercial company or organisation.

Signed:

____________________________________________

Name (capital letters):

____________________________________________

Date:

____________________________________________

Upon receipt of order form and payment, the software will be sent out to you. Any queries regarding your order should be addressed to Christine Bowles (ucleseu@ucl.ac.uk).

This page last modified 28 June, 2010 by Survey Web Administrator.