P.O. BOX 255
SHRUB OAK, NY, 10588, U.S.A.
FAX/PHONE: 914 528 3469
E-MAIL: Agritech@AgritechPublications.com
AGRITECH PUBLICATIONS BOOK ORDER FORM
TITLE 1_______________________________________________________________ $__________
TITLE 2_______________________________________________________________ $__________
TITLE 3_______________________________________________________________ $__________
TITLE 4_______________________________________________________________ $__________
TITLE 5_______________________________________________________________ $__________
SHIPPING $__________
TOTAL_____________________ $__________
Name____________________________________________________________________________
Address__________________________________________________________________________
City_____________________________________________________________________________
State/Province and Zip Code________________________________________________________
Country__________________________________________________________________________
Telephone_______________________________________________________________________
Fax_____________________________________________________________________________
E-mail___________________________________________________________________________
Prepayment required for all books
Please make check, drawn on a U.S. branch of any bank, international money order
or postal money order, payable to Agritech Consultants, Inc.
All bank charges must be prepaid.
Order form may be sent by fax at (914) 528-3469
For VISA, Mastercard, or American Express Card payment please provide the following:
Full name on face of credit card______________________________________________________
Account Number___________________________________________________________________
Expiration Date____________________________________________________________________
Amount__________________________________________________________________________
Signature________________________________________________________________________
.
