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Volcanoes
of Indonesia CD-ROM
ORDER FORM
Download Order Form as PDF File
Office of Imaging, Printing & Photographic
Services
Smithsonian Institution
12th St. @ Constitution Ave., N.W.,
Washington, DC 20560-0644
voice: 202-357-1933 fax: 202-786-2957
The price of each CD is $14.95 (no tax), and
includes shipping and handling.
Customer Information
Date: ___________
First Name: ___________________________________________
Last Name: ___________________________________________
Address: _____________________________________________
City: ____________________________________
State: _____
Zip Code: ________- _____
Phone #: (___) _____ - _________
E-mail address: ____________________________
Order
- Number of CDs ordered ____ x $14.95 = $____________
Payment Method
- Bill Credit Card (AE, D, MC, V)
#____________________________ Expiration Date:
________
Cardholder's Name:
________________________________________________
- Check Enclosed (Made payable to "Smithsonian
Institution")
Thank you for your order.
We ship within 2-3 days of payment receipt.
Date received: ___________
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