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ISSUE(s) ORDER FORM


Please, send ELSA Volume(s) : .........................................



Please charge my credit card :..........................................................US$

Singel Issue :

Institutions/libraries US$ 54.- (pus postage)
Individual (prepaid only) US$ 42.- (plus postage)



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Date : ___________


Signature : ___________________________


To confirm, send this form by email to the address :
icar-elsa@bluewin.ch
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Please charge my credit card

Master Card Visa Eurocard :

Card No. :

Digit code :

Expires :


Your full name :_________________________________________

Name of Institution :_____________________________________


Your adress : __________________________________________

Street :_______________________________________________

City : _________________________________________________

Postal code : ___________

Contry :_______________________________________________

Date : ___________


Signature : ___________________________



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To confirm, send this form by email to the address :
icar-elsa@bluewin.ch



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