On receipt of your payment questionnaire will be sent to you for you to complete and return (by email)
Please write clearly
Title: (Mr/Mrs/Miss/Ms) Initials_______ Surname_______________________
Address:________________________________________________________
_______________________________________________________________
Email:__________________________
Method of Payment
I enclose a Cheque (checks to our American friends) / Postal Order made payable to 'Energy Active' to the value of £39.95 GBP or $64.95 USD
Note: Please do not send money orders that can only be cashed in a US bank.
