Please complete this form and then print and post it along with a cheque or purchase order for the full amount including VAT made payable to "Logicom Computer Services" and forward to our agent:

Logicom Computer Services
1 Portland Drive
Willen
Milton Keynes
Bucks
MK15 9JW

Please write on the back of the cheque/purchase order: REF-BGAPP

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Name Description Quantity Price Total
Order Summary
Sub-Total £0.00
Value Added Tax £0.00
Total £0.00