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ChemTec Publishing Order Department, 38 Earswick Dr. Toronto, Ontario, M1E 1C6, Canada Fax: (416) 265-1399 Date of order:____________________ P.O. Number:____________________ or Credit Card #____________________ Expiration date ___________ Name on the Card ________________ Signature____________
Publications ordered:
Title Price S&H
(US$) (US$)
1. __________________________________________________ _______
2. __________________________________________________ _______
3. __________________________________________________ _______
4. __________________________________________________ _______
5. __________________________________________________ _______
6. __________________________________________________ _______ _______
Ship to:
Name:_______________________________
Company:____________________________
Address:________________________________________________________________
Phone:______________________________
Fax:________________________________
Signature ____________________________
Bill to (if different):
Name:_______________________________
Company:____________________________
Address:________________________________________________________________
Phone:______________________________
Fax:________________________________
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