P.O. BOX 255
SHRUB OAK, NY, 10588, U.S.A.
FAX/PHONE: 914 528 3469
E-MAIL: agritech@att.net

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

For wire transfer payment: Wells Fargo Bank NA, 1342 East Main St., Shrub Oak, NY 10588, USA. Account No. 026012881:8247532198, Agritech Consultants, Inc. SWIFT code WFBIUS6S. NOTE: All bank charges must be prepaid.

Payment may be made in US dollars, by international money order, postal money order or check, drawn on a US branch of any bank, payable to Agritech Consultants, Inc.

PayPal payment can be made to agritech@att.net

Order may be sent by email to: agritech@att.net or by fax to: 1-914-528-3469

For VISA, Mastercard, or American Express Card payment please provide the following:

Full name on face of credit card______________________________________________________

Account Number___________________________________________________________________

Expiration Date____________________________________________________________________

Amount__________________________________________________________________________

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