HEAS Subscription & Publications Order FormName . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode . . . . . . . . . . . . . . . . . . . . . . Telephone . . . . . . . . . . . . . . . . . . . . . . . . . Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-mail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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I enclose a cheque/PO for: (Overseas payments in pounds sterling only please) |
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Leaflet - Special Educational Needs Leaflet - Home Education Overseas The Big Book of Resource Ideas Donation TOTAL (cheques payable to HEAS) |
(UK £15.00,O/seas £21.00) (£2.50) (£1.00) (£1.50) (£1.00) (£1.50) (UK £8.75,O/seas £9.75) (UK £8.75,O/seas £9.75) (UK £9.75,O/seas £10.75) |
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Card Payments (Credit card payment accepted by post, fax or telephone, but not email). MINIMUM ORDER VALUE FOR CREDIT/DEBIT CARDS £8.00Type of card (delete as applicable) VISA/Mastercard/Delta (we cannot accept Maestro or Electron) Name & initials as on card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Card Number |___|___|___|___|-|___|___|___|___|-|___|___|___|___|-|___|___|___|___| Expiry date |___|___ / ___|___| Name of bank issuing card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . |
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This section is for new subscribers only:New subscribers are added to a regional subscribers list which is circulated to HEAS subscribers only. If you do not want to be put on the list please place a cross here If applicable please tell us how many home educated children you have in each of the following categories: Pre-school ____ Primary ____ Secondary ____ Considering/taking GCSE exams ____ Special Educational Needs ____ Post-16 ____ HEAS Registration Card: If you are subscribing to HEAS, please sign below to confirm that you are a home educator (or that you are about to withdraw your child from school). We will send you an HEAS registration card and a list of available concessions. Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . |
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Post or fax your order form and payment to:HEAS |
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