INTERNATIONAL LITERATURE ORDER FORM
NAME: _________________________________________________
COMPANY: ________________________________~-----------
ADDRESS: _____________________________________________
CITY: _____________________ STATE: ___ ZIP: _____
COUNTRY: _______________________
PHONE NO.:
ORDER NO | TITLE | QTV. | PRICE | TOTAL |
x
x
x
x
x
x
x
x
=
=
=
=
=
x=
x
Subtotal
Must Add Your
Local Sales Tax
Total
PAYMENT
Cheques should be made payable to your loes/lntel Sales Office (see inside back cover).
Other forms of payment may be available in your country. Please contact the Literature Coordinator at your loes/lntel Sales Office for details.
The completed form should be marked to the attention of the LITERATURE COORDINATOR and returned to your loes/lntel Sales Office.
CG/091790
