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PURCHASE REQUEST

I want to purchase this report
I would like additional information     Please add details in COMMENTS below.

CONTACT INFORMATION
Name
Email address
Company Name
Mailing Address
City, States/Province   
Postal code 
Country
Telephone     Fax  
FORMAT AND COPIES
paper copy ($2,350)
electronic copy ($2,350)
extra copies ($390 each)   Number:
PAYMENT OPTIONS
check--make payable to Meadowlark Technical Services
Please send a Proforma invoice
Major Credit Card  *contact for secure handling of information
Credit card using www.Paypal.com
Electronic fund transfer (bank to bank)
Comments
    
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rev. February 1, 2008
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