The Unofficial Madeira Bus Guide Order Form

Please could you complete the form and click 'Send Form'

Cost 2 Euro + postage (1,22 euro Europe, 1,85 euro Rest of the world)

Telephone No.	No spaces between digits
E-mail address
Your name
Address
City/Town
Zip code
Country
Credit card No. (Visa/Mastercard only)
Expiry Date	Month--Year
Security No. (Last three digits)

Please note this form is sent by e-mail.
If you wish to make it secure just send the form with your telephone number, e-mail address, home delivery address.
We will then telephone you for your credit card details.