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This form requires the Applicant's signature and should be printed out and completed and forwarded by mail, together with a cheque for the sum of £40.00 payable to "Bocaina Business Services" to cover publication for a period of 12 months to:-

The form below is an Adobe Acrobat .PDF document - if you do not have a copy of Acrobat Reader installed on your computer, you can download a free copy here.

Information Page Order Form (77kb)

 

Business Name:

Description/Speciality (30 words maximum):

Address (incl postcode):

Telephone:

FAX:

Contact (Manager/Proprietor/Secretary) name:

Web Site Address:

E-mail Address:

Request for publication authorised by:

(Print)______________________________

(Signed)______________________________

On completion, please return to:
Bocaina Business Services
15 Lower Gurnick Road, Newlyn, Penzance, Cornwall, TR18 5QN.