This form should be printed, filled in then posted to:
BASS Teacher Support Section, Martineau Education Centre, Balden
Road,
Harborne, Birmingham B32 2EH
Tel: 0121 303 1167 Fax: 0121 303 1196
Name:....................................................
Position:................................................
Signature:...............................................
Organisation:............................................
Address:.................................................
.........................................................
Tel No:...................... Fax No:....................
| Item: | Cost: | Quantity: | Sub total |
| Plus 10% P&P | |||
| Printed from the "Birmingham Maths" Web site | Total cost |
Please attach a cheque made payable to the "City of Birmingham Education Department" or provide an Official Order for the full amount and an invoice will be forwarded.