Discount Order Form
Herbal Medicines, Third Edition (2008)
I would like to order the following (prices in US dollars):
____ book(s) @ $142.50
____ CD-ROM(s) @ $142.50
____ book/CD-ROM package(s) @ 189.95
Please send my order to:
| Name |
_____________________________________ |
Address |
_____________________________________ |
|
_____________________________________ |
| |
_____________________________________ |
Telephone |
_____________________________________ |
Email |
_____________________________________ |
____ Payment enclosed.
____ Please charge credit card: Type _________ Card
# ________________________
Name on
card _______________________________ Expiration date: ________
Signature
___________________________________
Applicable sales tax will be added. To receive your discount,
mail or fax this form to:
Pharmaceutical Press, 1573 St. Paul Avenue, Gurnee,
IL 60031
Fax (847) 244-6689.
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