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Fax to: The Marketing Research Bureau Inc.
Fax: +1 203 891-8855
ORDER FORM BLOOD COLLECTION AND TRANSFUSION
PRICE & DELIVERY The price is $5,950 (five thousand nine hundred and fifty dollars). A promotional price of $4, 950 (four thousand nine hundred and fifty dollars) is offered until August 31, 2009. A pdf file of the report will be sent electronically, and two hard copies will follow shortly thereafter. |
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PAYMENT : |
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PAYMENT FOLLOWS BY WIRE TRANSFER to Bank of America Orange, Connecticut 06477, USA, account number 003850938248, routing number 0260-0959-3. Swift Code: BOFAUS3N or by check in US dollars on a U.S. Bank, or a U.S. correspondent bank. Please provide the invoice number |
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PLEASE BILL ME Purchase Order # _____________________ (optional) |
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SHIPPING ADDRESS: Name ____________________________________________ Title _____________________________________________ Company _________________________________________ Address __________________________________________ City/State_________________________________________ ZIP/Country ______________________________________ Telephone _______________ Fax: ____________________ Date ____________________________________________
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