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This form is for online credit card sales only.

Please select the printable form to pay using a cheque or postal order.


Personal Details

Title     Mr Mrs Dr Other
 
 
 Full Name 
 
 
Postal Address
 
    street 
           
      city 
     state 
   country 
  zip code 
 
 
     tel  + () 
     fax  + () 
 
 
     EMail 
       URL 
 
 
Institution or Company 
 
           
   Tax No. 


Specify number of Copies

IMBC Interactive Prospectus
 
 @  US$40 or  UK£25 or  10000 drs per CD = 
 
 
AQUALEX: Under contract to John Wiley & Sons, to whom we shall 
         forward any enquiries
 
 
Basic Techniques in Fish Haematology
 
 @  US$60 or  UK£40 or  14000 drs per CD = 
 
 
BIAQUE: Aquaculture and the Environment Interactions Bibliography
 
 @  US$40 or  UK£25 or  10000 drs per CD = 


Price inclusive of VAT and postage


Total cost of CDs =

Payment by Credit Card

My Credits card Number is 
 
       The expiry date is 
 
           Todays date is 

Please allow 30 days for delivery. 


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