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E-mail order or request for proforma invoice/quotation

This form may be used for

Ordering by e-mail (send cheque by mail or credit card details by fax or phone)
Ordering by companies with an established corporate account
Requesting a Proforma Invoice
Requesting a quotation for bulk orders (more than 5 publications, mixed or same title)

Order Corporate a/c Order Request Proforma Request Quotation

1. Please provide the following contact information (* = minimum required data):

First name*
Last name*
Title
Organisation
Street address*
Address (cont.)
City*
State/Province
Post code/Zip*
Country*
Phone*
Fax
E-mail*

2. Please provide the following ordering information:

For currency, prices, VAT** and Post & Packing, please consult our destination-country sensitive Price List

If paying by cheque

UK Orders: cheques must be raised on a British bank and payable in UK pounds sterling.

Rest of the World: cheques must be raised on an American bank and payable in US dollars.

Please indicate the currency applicable to the destination: Pounds Sterling (GBP, £) US Dollars (USD, $)

QTY REF (EP#) TITLE U. PRICE VAT** P&P sub-TOTAL
          TOTAL:
  CORPORATE ACCOUNT INFO
Purchase order #
Account name
  DELIVERY (if different from above)
Street address
Address (cont.)
City
State/Province
Post code/Zip
Country

** Value Added Tax is applicable only for delivery destinations within the European Union and for items including other than printed matter (e.g. CD-ROMs, video and audio tapes etc.).

Surface Mail Air MailCourier (e.g. UPS, FedEx, DHL, etc.)

Enter any particular details or instructions below, please.

N.B. It is unsafe to send credit card details by this form. If ordering by this method, please communicate these by fax to +44 (01624) 835 400 or by phone to +44 (01624) 834941, quoting this e-mail order and date. See the fax order form.

 

Tel: +44 (0)1624 834941
Fax: +44 (0)1624 835400
E-Mail: sales@elchempub.com

© Electrochemical Publications, IOM, 1997-2005

 Page last revised 11.02.05

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